Samantha Alisha Kakar, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RNP267549 Issued in AZ

Practice address

1811 E McMurray Blvd
Casa Grande, AZ 85122-5404

Phone

(520) 374-6530

Fax

(520) 374-6541

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Alisha Dolen Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Casa Grande, AZ, CCN 037252
• Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1659640902
  Medicare reassignment Care Compare group NPD
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1790306066
  NPD
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1417238908
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Angel Care Health Services, Inc.

  • Home Health Agency
  • Casa Grande, AZ
  • NPI 1285771469
  Care Compare affiliation
• Banner Health

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976
  Care Compare affiliation

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1982351888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 E MCMURRAY BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225404",
            "telephone_number": "520-374-6530",
            "fax_number": "520-374-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E MCMURRAY BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225404",
            "telephone_number": "520-374-6530",
            "fax_number": "520-374-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKAR",
        "first_name": "SAMANTHA",
        "middle_name": "ALISHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2023-06-27",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP267549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "DOLEN",
            "middle_name": "ALISHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Marie Joyner, RN
• JS Medical Services & Consulting
• Florence Suzanne Kacprzynski, MA,RN,EMDR,CLINICIAN
• Arnie Kahn, LISAC
• Kaizen Group Homes LLC
• Lori Kallanxhi
• Philip Kapsos, MD
• Grace Wanjiru Karanja Adams, NURSE PRACTITIONER
• Briana Kasisa
• Kathy Sigda, PHD, PLLC

• Family Nurse Practitioner in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.

Verify at the official NPI Registry.