SAMANTHA ELLEN PEDERSON PA-C
NPI 1033885504
Physician Assistant - Medical in Henderson, NE
About Samantha Ellen Pederson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA ELLEN PEDERSON PA-C (NPI 1033885504) is an individual medical provider in Henderson, Nebraska, licensed in Nebraska (2565) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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 (PECOS)
Samantha Ellen Pederson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bryan Medical Center
Acute Care Hospitals · Lincoln, NEOther Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HENDERSON, NE 68371
HENDERSON, NE 68371
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 Pederson's NPI number?
The NPI number for Samantha Pederson is 1033885504. It was assigned to this individual provider in the NPPES registry on August 17, 2021. The provider is also known as Samantha E Boardman.
Where is Samantha Pederson located?
Samantha Pederson practices at 1621 Front St, Henderson, NE 68371. The listed phone number is (402) 723-4512.
What is Samantha Pederson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Samantha Pederson enrolled in Medicare?
Yes. Samantha Pederson is registered in the Medicare PECOS enrollment system.
What insurance does Samantha Pederson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Samantha Pederson 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.
Is Samantha Pederson affiliated with any hospitals?
According to CMS data, Samantha Pederson is affiliated with Bryan Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha Pederson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.