Individual provider Active NPI

Samuel J Dostal, PA C

  • Physician Assistant
  • West Point, NE
National Provider Identifier
1922073634
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1217 Issued in NE
Practice address
430 N Monitor St
West Point, NE 68788-1555
Phone
(402) 372-2404
NPI assigned
Feb 17, 2006
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1217 NE
Physician Assistant 363A00000X 1217 NE Primary
Medical Physician Assistant 363AM0700X 1217 NE

Addresses

Primary practice location

430 N Monitor St
West Point, NE 68788-1555

Mailing address

430 N Monitor St
West Point, NE 68788-1555
Phone (402) 372-6717

Other practice location 1

6900 A St
Ste 100
Lincoln, NE 68510-4120
Phone (402) 436-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20051012000465 NE Practitioner - Physician Assistant 6901821529 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Orthopaedic Center PCGroup PAC ID 2567432461, 65 clinicians
Franciscan Care Services IncGroup PAC ID 4284624909, shared by 10 NPIs, 51 clinicians

Practice addresses (Care Compare)

103 S 9TH St
Nebraska Orthopaedic Center
Beatrice, NE 68310-4002
Phone (402) 228-5969

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 475-1011

430 N Monitor St
Franciscan Healthcare
West Point, NE 68788-1595
Phone (402) 372-2404

555 S 70TH St
CHI Health Saint Elizabeth
Lincoln, NE 68510-2462
Phone (402) 219-7700

575 S 70TH St
Lincoln, NE 68510-2471
Phone (402) 436-2000

6900 A St
Lincoln, NE 68510-4120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.8 of 100Reported as group
Quality
89.76
Promoting interoperability
99
Improvement activities
40
Cost
70.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Orthopaedic Center PC Medical CurrentSince Sep 22, 2005 Accepting new patients

Locations

103 S 9th St
Beatrice, NE 68310
Phone (402) 228-5969

575 S 70th St
Ste 200
Lincoln, NE 68510
Phone (402) 436-2000

6900 A St
Ste 100
Lincoln, NE 68510
Phone (402) 436-2000

Interoperability endpoints

  • Direct secure messaging: samuel.dostal.1@32860.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1922073634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N MONITOR ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881555",
            "telephone_number": "402-372-6717",
            "fax_number": "492-372-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MONITOR ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881555",
            "telephone_number": "402-372-2404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 A St",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685104120",
            "country_code": "US",
            "telephone_number": "402-436-2000",
            "fax_number": "402-436-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSTAL",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "1217",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1217",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, NE

Sources for this page

Verify at the official NPI Registry.