Samantha Jo Boyer
Individual provider Active NPI Family Medicine Physician · Nebraska City, NE
NPI 1669976080 · NPPES record last updated Jul 7, 2021
Key facts
- NPI
- 1669976080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2383 (NE)
- Practice address
- 1301 Grundman Blvd Ste a
Nebraska City, NE 68410-3320 - Phone
- (402) 873-4242
- NPI assigned
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CHI Health Clinic Specialty LLC
St Marys Community Hospital
Practice addresses (Care Compare)
1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 873-3321
1301 Grundman Blvd
Suite a
Nebraska City, NE 68410-3320
Phone (402) 873-4242
Hospital & facility affiliations
- Angels Care Home Health
- CHI Health St Mary'S
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210713000483 | NE | Practitioner - Family Practice | 8921358268 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2383 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Community Hospital | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Family Medicine | Current |
Accepting new patients |
| St. Mary'S Community Hospital | Current |
Accepting new patients | |
| The Nebraska Medical Center | Past | Accepting new patients | |
| The Physician Network | Family Medicine | Past |
Accepting new patients |
| Nebraska Medical Center | Family Medicine | Past | Accepting new patients |
Locations
120 Park Ave
Hebron, NE 68370
Phone (402) 768-6041
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
1301 Grundman Blvd
Ste A
Nebraska City, NE 68410
Phone (402) 873-3321
1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110
Interoperability endpoints
- samanthaboyer@cneb.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 2383 | NE | Yes |
Addresses
Primary practice location
1301 Grundman Blvd Ste a
Nebraska City, NE 68410-3320
Mailing address
1301 Grundman Blvd Ste a
Nebraska City, NE 68410-3320
Phone (402) 873-4242
Other providers in Nebraska City, NE
- Better Life Chiropractic and Wellness, LLC
- Mary Jane Betterman
- Angela Ann Bickford
- Stacy D Blum
- Tara Jaima Booton
- Jeffrey S Bradley
- Joan Bradley
- Lily Addisyn Marie Bradshaw
- Bramble Applied Behavior Analysis, LLC
- Kary L Brown
All providers in Nebraska City, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.