SAMONE MARIE WULF (PA-C) – Physician Assistant, NPI 1962035576
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
Provider Addresses for SAMONE MARIE WULF (PA-C)
3901 PINE LAKE RD STE 120
LINCOLN, NE 685165497
Phone: (402) 420-3417
Fax: (402) 328-0961
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 64 Open Payments records for all available years, with a total value of $936.
Total Amount is formed as General ($936) + Research ($0) + Ownership ($0) = $936.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($370).
Total Amount
$936
General + Research + Ownership
Payments
64
Total payment records
General Amount
$936
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $370 |
| ABBVIE INC. | $194 |
| AstraZeneca Pharmaceuticals LP | $112 |
| Aurinia Pharma U.S., Inc. | $44 |
| Janssen Biotech, Inc. | $40 |
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: 2020-06-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200629000470 | I | Physician Assistant | NE | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 72 | 61 | $0 |
| 82565 | Blood creatinine level | 71 | 60 | $0 |
| 84450 | Liver enzyme (sgot), level | 65 | 54 | $0 |
| 84132 | Blood potassium level | 65 | 54 | $0 |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 64 | 53 | $0 |
Insurance plans in this area (ZIP 68516)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Rheumatology, Internal Medicine | NE | |
| - | NE | |
| Nurse Practitioner | NE | |
| Rheumatology, Internal Medicine | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Internal Medicine, Rheumatology | NE |
Reviews
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