Individual provider Active NPI

Samantha Bramblett, APRN

  • Family Nurse Practitioner
  • La Vista, NE
National Provider Identifier
1881369601
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113318 Issued in NE
Practice address
6901 S 84TH St
La Vista, NE 68128-2127
Phone
(402) 339-1090
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113318 NE Primary

Addresses

Primary practice location

6901 S 84TH St
La Vista, NE 68128-2127

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Other practice location 1

8055 O St
Lincoln, NE 68510-2564
Phone (866) 284-8788

Other practice location 2

5045 S 153rd St
Omaha, NE 68137-5001
Phone (402) 717-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20211025000775 NE Practitioner - Nurse Practitioner 3476941469 Reassigns benefits to 1 organization
I20220217002065 IA Practitioner - Nurse Practitioner 3476941469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

1288 Valley View LN
Council Bluffs, IA 51503-5456
Phone (712) 328-8800

16101 Evans St
Omaha, NE 68116-6447
Phone (402) 717-9700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113318NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Feb 15, 2022 Accepting new patients
Alegent Creighton Clinic CurrentSince Feb 15, 2022 Accepting new patients
Alegent Creighton Clinic PastSince Feb 15, 2022 Accepting new patients

Locations

3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

16101 Evans St
Omaha, NE 68116
Phone (402) 717-9700

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

2734 N 61st St
Omaha, NE 68104
Phone (402) 553-0222

5045 S 153rd St
Omaha, NE 68137
Phone (402) 717-9100

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

4220 L St
#100
Omaha, NE 68107
Phone (402) 733-4433

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1881369601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S 84TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282127",
            "telephone_number": "402-339-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8055 O St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685102564",
            "country_code": "US",
            "telephone_number": "866-284-8788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5045 S 153rd St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681375001",
            "country_code": "US",
            "telephone_number": "402-717-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAMBLETT",
        "first_name": "SAMANTHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-02-07",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

Verify at the official NPI Registry.