MR. DOMINIQUE DANTE SAMUEL (APRN) – Critical Care Medicine Nurse Practitioner, NPI 1174191928
Critical Care Medicine Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,114 NURSE PRACTITIONER in NE
Provider Addresses for MR. DOMINIQUE DANTE SAMUEL (APRN)
Emile @ 42nd Street
Omaha, NE 681980001
Phone: (402) 541-8998
Type: Location
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 681988102
Phone:
Type: Mailing
7200 CAMBRIDGE ST FL 6
HOUSTON, TX 770304202
Phone: (713) 798-1750
Type: Location
EMILE @ 42ND STREET
OMAHA, NE 681980001
Phone: (402) 541-8998
Type: Location
7200 CAMBRIDGE ST FL 7
HOUSTON, TX 770304202
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $169.
Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.
Last reported payment date: 2023-07-26 • Largest payer in this snapshot: Smith+Nephew, Inc. ($169).
Total Amount
$169
General + Research + Ownership
Payments
3
Total payment records
General Amount
$169
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $169 |
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: 2025-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210916000281 | I | Nurse Practitioner | NE | TBD |
| I20251022004490 | I | Nurse Practitioner | TX | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 79 | 45 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 73 | 53 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 23 | 23 | $0 |
| 99291 | Critical care, first 30-74 minutes | 16 | 12 | $0 |
Insurance plans in this area (ZIP 68198)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Infectious Disease | NE | |
| N E U R O L O G Y | NE | |
| P A T H O L O G Y | NE | |
| Medical Oncology, Hematology/Oncology | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| - | NE | |
| G A S T R O E N T E R O L O G Y | NE | |
| Internal Medicine | NE | |
| N E U R O S U R G E R Y | NE |
Reviews
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