DR. SAMUEL R SIMS CRNA
NPI 1063635621
Nurse Anesthetist, Certified Registered in Imperial, NE
About Dr. Samuel R Sims Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL R SIMS CRNA (NPI 1063635621) is an individual nurse anesthetist, certified registered in Imperial, Nebraska, licensed in Nebraska (101237) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Kimball Health Services, and maintains a secondary practice location in Carroll.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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
Dr. Samuel R Sims Crna 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.
Medicare Billing Reassignments
9Medicare enrollment records show Samuel Sims reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grant, NE 69140
- Reassigned Medicare billing, Nebraska enrollment
- 23 clinicians in this Medicare group
Holyoke, CO 80734
- Reassigned Medicare billing, Colorado enrollment
- Also billed through NPI 1891733879 (Colorado), NPI 1073520375 (Colorado)
- 26 clinicians in this Medicare group
Wray, CO 80758
- Reassigned Medicare billing, Colorado enrollment
- Also billed through NPI 1083640239 (Colorado)
- 57 clinicians in this Medicare group
Julesburg, CO 80737
- Reassigned Medicare billing, Colorado enrollment
- 7 clinicians in this Medicare group
Yuma, CO 80759
- Reassigned Medicare billing, Colorado enrollment
- Also billed through NPI 1629074182 (Colorado)
- 41 clinicians in this Medicare group
Burlington, CO 80807
- Reassigned Medicare billing, Colorado enrollment
- Also billed through NPI 1932211596 (Colorado)
- 17 clinicians in this Medicare group
Kimball, NE 69145
- Reassigned Medicare billing, Nebraska enrollment
- Also billed through NPI 1326027160 (Nebraska)
- 25 clinicians in this Medicare group
Cheyenne Wells, CO 80810
- Reassigned Medicare billing, Colorado enrollment
- 39 clinicians in this Medicare group
Hugo, CO 80821
- Reassigned Medicare billing, Colorado enrollment
- 44 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kimball Health Services
Critical Access Hospitals · Kimball, NEDundy County Hospital
Critical Access Hospitals · Benkelman, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 69033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samuel Sims's NPI number?
The NPI number for Samuel Sims is 1063635621. It was assigned to this individual provider in the NPPES registry on April 11, 2007.
Where is Samuel Sims located?
Samuel Sims practices at 600 W 12th St, Imperial, NE 69033. The listed phone number is (308) 882-7111.
What is Samuel Sims's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Samuel Sims enrolled in Medicare?
Yes. Samuel Sims 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.
Which organizations bill Medicare for Samuel Sims's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Sims reassigns Medicare benefits to 9 organizations: Perkins County Hospital District (Grant, NE), East Phillips County Hospital District (Holyoke, CO), Wray Community District Hospital (Wray, CO), Sedgwick County Memorial Hospital (Julesburg, CO), Yuma District Hospital (Yuma, CO) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Sims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Sims accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Samuel Sims 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 Samuel Sims affiliated with any hospitals?
According to CMS data, Samuel Sims is affiliated with Kimball Health Services and Dundy County Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Sims was last updated on March 19, 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.
# Dr. Samuel R Sims, CRNA · NPI 1063635621
Nurse Anesthetist, Certified Registered physician in Imperial, Nebraska. Individual provider, active in the CMS NPPES registry since April 11, 2007.
## Identity
- **NPI:** 1063635621 (Entity type: Individual)
- **Enumerated:** April 11, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 101237 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 W 12TH ST, Imperial, NE 69033-3130
- **Phone:** (308) 882-7111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Perkins County Hospital District (NPI 1720095755, Grant, NE); East Phillips County Hospital District (NPI 1912915893, Holyoke, CO); Wray Community District Hospital (NPI 1912486820, Wray, CO); Sedgwick County Memorial Hospital (NPI 1881602738, Julesburg, CO); Yuma District Hospital (NPI 1144227588, Yuma, CO); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** March 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063635621) · Data from the CMS NPPES public registry.