SAMANTHA MARIE SMITH (APRN) – Family Nurse Practitioner, NPI 1972003184

SAMANTHA MARIE SMITH (APRN) is a healthcare provider. based in Augusta, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 53-78001-032 (KS). The NPI Number for SAMANTHA MARIE SMITH (APRN) is 1972003184

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA MARIE SMITH (APRN)
NPI
1972003184
Phone
(316) 775-9191
Address
1306 STATE ST
Enumeration Date
14 February 2018
Last Update Date
16 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3166829900200
Graduation Year
2017 (9 years ago)
PAC ID
6305108788
Group Practice PAC ID
1658608906
Professional Enrollment ID
I20180323000025
Address ID
KS672112154WI144XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

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Provider Addresses for SAMANTHA MARIE SMITH (APRN)

  • 1306, State Street, Augusta, Butler County, Kansas, 67010, United States

    AUGUSTA, KS 670101126

    Phone: (316) 775-9191

    Fax: (316) 775-0348

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $499.

Total Amount is formed as General ($499) + Research ($0) + Ownership ($0) = $499.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($193).

Total Amount

$499

General + Research + Ownership

Payments

30

Total payment records

General Amount

$499

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180323000025INurse PractitionerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658608906View full group profile
NameSpecialtyState
Physician AssistantKS
Physician AssistantKS
Pediatric Medicine, Family PracticeKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What NPI should I save for SAMANTHA MARIE SMITH (APRN)?
Save NPI 1972003184 if you need a stable reference for SAMANTHA MARIE SMITH (APRN).
Is SAMANTHA MARIE SMITH (APRN) currently active in the NPI registry?
CMS-published data lists SAMANTHA MARIE SMITH (APRN) as an active registrant.
Does SAMANTHA MARIE SMITH (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for SAMANTHA MARIE SMITH (APRN). Clinical services aligned with this taxonomy classification.
Where does public data place SAMANTHA MARIE SMITH (APRN)?
The snapshot lists Augusta, Kansas for SAMANTHA MARIE SMITH (APRN); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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