Active NPI
Samantha Prichard, PA
- Medical Physician Assistant
- Fremont, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Center
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2899 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Neighbor Community Health Center | Current | Accepting new patients | |
| Good Neighbor Community Health Center | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Columbus, NE
- NPI 1740491786
-
dba Good Neighbor Clinic Fremont
- Federally Qualified Health Center (FQHC)
- Fremont, NE
- NPI 1902287261
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.