SAMANTHA ACACIA JANSSEN MD
NPI 1003493594
Obstetrics & Gynecology in Lees Summit, MO

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
20 NE SAINT LUKES BLVD STE 310, LEES SUMMIT, MO 64086(816) 282-7809 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Aug 4, 2025, Mar 29, 2021 (3 updates tracked since 2021).

About Samantha Acacia Janssen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ACACIA JANSSEN MD (NPI 1003493594) is an individual obstetrics & gynecology provider in Lees Summit, Missouri, licensed in Kansas (04-51417) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Overland Park, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2021).

NPPES Registry Identity

NPI1003493594
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSAMANTHA ACACIA JANSSENCredential: MD
Location Address20 NE SAINT LUKES BLVD STE 310Lees Summit, MO 64086-6001
Mailing Address20 Ne Saint Lukes Blvd Ste 310Lees Summit, MO 64086-6001 · (816) 282-7809 · Fax (816) 282-7870
Sole ProprietorYes
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
NPI 1003493594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in KS · 04-51417 Licensed in MO · 2025029505
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
20 NE SAINT LUKES BLVD STE 310, Lees Summit, MO 64086

Other Names 1

Former Name (1)Samantha Acacia Rios Md

Secondary Practice Location 1

Location 15701 W 119th St Ste 225Overland Park, KS 66209-3721 · Phone (913) 601-4020 · Fax (913) 601-4022

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Acacia Janssen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941600852
PECOS Enrollment IDI20250902002795, I20250903003378
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086
Obstetrics & Gynecology
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086
Obstetrics & Gynecology
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086
Obstetrics & Gynecology
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086
Obstetrics & Gynecology
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086
Obstetrics & Gynecology
20 NE SAINT LUKES BLVD STE 310
LEES SUMMIT, MO 64086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Janssen's NPI number?

The NPI number for Samantha Janssen is 1003493594. It was assigned to this individual provider in the NPPES registry on March 29, 2021. The provider is also known as Samantha Acacia Rios MD.

Where is Samantha Janssen located?

Samantha Janssen practices at 20 NE Saint Lukes Blvd Ste 310, Lees Summit, MO 64086. The listed phone number is (816) 282-7809.

What is Samantha Janssen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Samantha Janssen enrolled in Medicare?

Yes. Samantha Janssen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Janssen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Samantha Janssen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Janssen was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.