Individual provider Active NPI

Samantha Lynn Dorcey

  • Nurse Practitioner
  • Wayne, NE
National Provider Identifier
1962366039
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
116547 Issued in NE
Practice address
120 W 2ND St Ste 1
Wayne, NE 68787-1957
Phone
(531) 519-6074
Fax
(531) 519-6858
NPI assigned
Dec 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 116547 NE Primary

Addresses

Primary practice location

120 W 2ND St Ste 1
Wayne, NE 68787-1957

Mailing address

3140 E Elk LN Ste 600
Fremont, NE 68025-8650
Phone (402) 936-6198

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
I20260320003728 NE Practitioner - Nurse Practitioner 6204310881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

310 E Elk LN
Suite 600
Fremont, NE 68025-8650

936 S Lauren LN
Fremont, NE 68025-2001

Hospital & facility affiliations

  • Pender Community Hospital Hospital, Pender, NE, CCN 281349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116547NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Envy Dermatology Nurse Practitioner CurrentSince Dec 14, 2025 Accepting new patients
Skin Envy Wayne LLC Nurse Practitioner CurrentSince Dec 14, 2025 Accepting new patients

Locations

3140 E Elk Ln
Ste 600
Fremont, NE 68025
Phone (402) 720-8691

120 W 2nd St
Ste 1
Wayne, NE 68787
Phone (402) 936-6198

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1962366039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 E ELK LN STE 600",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680258650",
            "telephone_number": "402-936-6198",
            "fax_number": "402-816-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 2ND ST STE 1",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871957",
            "telephone_number": "531-519-6074",
            "fax_number": "531-519-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORCEY",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "116547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NE

Sources for this page

Verify at the official NPI Registry.