Individual provider Active NPI

Samantha Jo Harms, APRN

  • Family Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1902248115
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022001111 Issued in MO
Practice address
104 N 7 Hwy
Blue Springs, MO 64014-2726
Phone
(816) 229-8880
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 76806 KS
Family Nurse Practitioner 363LF0000X 2022001111 MO Primary

Addresses

Primary practice location

104 N 7 Hwy
Blue Springs, MO 64014-2726

Mailing address

104 N 7 Hwy
Blue Springs, MO 64014-2726
Phone (816) 229-8880

Other practice location 1

2201 Canterbury Drive
Hays, KS 67601
Phone (785) 628-7495

Other names 1

  • Samantha Jo Pallette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131029001972 MO Practitioner - Nurse Practitioner 6507091535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Springs Family Care PCGroup PAC ID 8527039601, 7 clinicians

Practice addresses (Care Compare)

104 N 7 Hwy
Suite B
Blue Springs, MO 64014-2749
Phone (816) 229-8880

Hospital & facility affiliations

  • St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
76806KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Springs Family Care PC CurrentSince Apr 1, 2022 Accepting new patients
Orthopedic Health of Kansas City P.C. PastSince Aug 19, 2013 Accepting new patients
Serafini Medical, P.C. PastSince Oct 20, 2014 Accepting new patients
Midwest Heart & Vascular Specialists, LLC Past Accepting new patients

Locations

104 NW State Route 7
Ste B
Blue Springs, MO 64014
Phone (816) 229-8880

Organizations & group practices 4

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 3

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1902248115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N 7 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142726",
            "telephone_number": "816-229-8880",
            "fax_number": "816-229-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N 7 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142726",
            "telephone_number": "816-229-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Canterbury Drive",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "67601",
            "country_code": "US",
            "telephone_number": "785-628-7495",
            "fax_number": "785-628-3262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMS",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "76806",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022001111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "PALLETTE",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.