Individual provider Active NPI

Samantha Lynn Schneider, MD

  • Dermatology Physician
  • Carson City, NV
National Provider Identifier
1992190235
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19793 Issued in NV
Practice address
1525 Vista LN Ste 120
Carson City, NV 89703-4633
Phone
(775) 451-3376
Fax
(775) 490-0186
NPI assigned
Apr 3, 2015
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 19793 NV
Dermatology Physician 207N00000X 19793 NV Primary

Addresses

Primary practice location

1525 Vista LN Ste 120
Carson City, NV 89703-4633

Mailing address

1525 Vista LN Ste 120
Carson City, NV 89703-4633
Phone (775) 451-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629000744 NV Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4284927179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Albert Einstein College of Medicine of Yeshiva University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schneider Dermatology PLLCGroup PAC ID 9537526926, 2 clinicians

Practice addresses (Care Compare)

5050 Vista Blvd
Unit 102
Sparks, NV 89436-2845
Phone (775) 451-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of skin lesions423
Removal of skin cancer181
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19793NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Schneider Dermatology PLLC Dermatology CurrentSince Feb 10, 2023 Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

1525 Vista Ln
Ste 120
Carson City, NV 89703
Phone (775) 451-3376

5050 Vista Blvd
Unit 102
Sparks, NV 89436
Phone (775) 451-3376

Interoperability endpoints

  • Direct secure messaging: sschneider@pacificcrestderm.emadirect.md

Organizations & group practices 4

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1992190235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 VISTA LN STE 120",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034633",
            "telephone_number": "775-451-3376",
            "fax_number": "775-490-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 VISTA LN STE 120",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034633",
            "telephone_number": "775-451-3376",
            "fax_number": "775-490-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NV",
            "license": "19793",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "19793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.