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

Q: 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.

Q: What is Samantha Janssen's specialty?

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

Q: 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 7 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.

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: October 18, 2026.

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

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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

Phone(816) 282-7809

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Samantha Janssen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockhill Women's Care, Inc

Same address

Specialist

20 NE SAINT LUKES BLVD, SUITE 310
Lees Summit, MO 64086

Reassigned Medicare billing, Kansas and Missouri enrollments
13 clinicians in this Medicare group

NPI 1336181734 (816) 282-7809

Midwest Physician Group, LLC

16 mi

Internal Medicine

8655 COLLEGE BLVD
Overland Park, KS 66210

Reassigned Medicare billing, Kansas and Missouri enrollments
26 clinicians in this Medicare group

NPI 1134920580 (913) 648-0073

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MARY A. COWAN MSN, APN

Nurse Practitioner (Women's Health)