Individual provider Active NPI

Samantha Prichard, PA

  • Medical Physician Assistant
  • Fremont, NE
National Provider Identifier
1922718923
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
450 E 23Rd St
Fremont, NE 68025-9802
Phone
(402) 727-3370
Fax
(402) 727-3376
NPI assigned
Nov 30, 2022
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

450 E 23Rd St
Fremont, NE 68025-9802

Mailing address

11013 Jackson St
Omaha, NE 68154-3331
Phone (402) 943-7676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316002443 NE Practitioner - Physician Assistant 3971977737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Neighbor Community Health CenterGroup PAC ID 0840100392, shared by 2 NPIs, 16 clinicians

Practice addresses (Care Compare)

2740 N Clarkson St
Fremont, NE 68025-7702
Phone (402) 721-0951

4321 41St Ave
Columbus, NE 68601-2131
Phone (402) 562-7500

Merit-based Incentive Payment System (MIPS)

Final score
65.67 of 100Reported as group
Quality
95
Promoting interoperability
0
Improvement activities
40
Cost
73.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2899NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Neighbor Community Health Center CurrentSince Dec 16, 2025 Accepting new patients
Good Neighbor Community Health Center CurrentSince Dec 16, 2025 Accepting new patients

Locations

4321 41st Ave
Columbus, NE 68601
Phone (402) 562-7500

2740 N Clarkson St
Fremont, NE 68025
Phone (402) 721-0090

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1922718923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11013 JACKSON ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543331",
            "telephone_number": "402-943-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680259802",
            "telephone_number": "402-727-3370",
            "fax_number": "402-727-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICHARD",
        "first_name": "SAMANTHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.