Individual provider Active NPI

Samantha Rogers

  • Nurse Practitioner
  • Minden, NE
National Provider Identifier
1770306136
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
115700 Issued in NE
Practice address
727 E 1St St
Minden, NE 68959-1705
Phone
(302) 832-3400
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 115700 NE Primary

Addresses

Primary practice location

727 E 1St St
Minden, NE 68959-1705

Mailing address

1098 Evergreen Dr
Phillipsburg, KS 67661-7060

Other names 1

  • Samantha Pakkebier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241227002057 NE Practitioner - Nurse Practitioner 6406383710 Reassigns benefits to 2 organizations
I20251210000234 KS Practitioner - Nurse Practitioner 6406383710 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115700NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Health Systems Inc Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Kearney Co Health Services Nurse Practitioner CurrentSince Nov 18, 2024 Accepting new patients
Kearney Co Health Services CurrentSince Nov 18, 2024 Accepting new patients
Kearney Co Health Services Current Accepting new patients
Decatur Health Systems Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

810 W Columbia St
Oberlin, KS 67749
Phone (785) 475-2200

902 W Columbia St
Oberlin, KS 67749
Phone (785) 475-2221

727 E 1st St
Minden, NE 68959
Phone (308) 832-1440

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/afb10dcd-fcfe-4394-bcee-f9c44a02df40/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton County Hospital 8 clinicians
Kearney Co Health Services 13 clinicians

Practice addresses (Care Compare)

102 E Holme St
Norton, KS 67654-1406

727 E 1St St
Minden, NE 68959-1705
Phone (308) 832-3400

807 N State St
Norton, KS 67654-1403
Phone (785) 877-3305

PO Box
Suite 408
Norton, KS 67654-0408

Hospital & facility affiliations

  • Kearney County Health Services Hospital Hospital, Minden, NE, CCN 281306

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1770306136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 EVERGREEN DR",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "676617060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E 1ST ST",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591705",
            "telephone_number": "302-832-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "PAKKEBIER",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minden, NE

Sources for this page

Verify at the official NPI Registry.