DR. SAMUEL R SIMS CRNA
NPI 1063635621
Nurse Anesthetist, Certified Registered in Imperial, NE

Active since April 11, 2007Accepts Medicare Assignment
97.58/100
CMS Quality Rating
600 W 12TH ST, IMPERIAL, NE 69033(308) 882-7111 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2026, Jul 11, 2025, Nov 1, 2018 (3 updates tracked since 2018).

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 affiliated with Kimball Health Services, maintains a secondary practice location in Carroll, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1063635621
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDR. SAMUEL R SIMSCredential: CRNA
Location Address600 W 12TH STImperial, NE 69033-3130
Mailing Address905 Sherman AveGrant, NE 69140-3027 · (712) 790-2949
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 11, 2007
Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1063635621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in NE · 101237 Licensed in IA · D-119772 Licensed in CO · C-APN.0100015-C-CRNA
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 119772 (IA)
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License R 100585 (SC)
600 W 12TH ST, Imperial, NE 69033

Secondary Practice Location 1

Location 1344 Prairie View DrCarroll, IA 51401-3270 · Phone (803) 466-1336

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

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.

PECOS PAC ID3173690724
PECOS Enrollment IDI20110504000234

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kimball Health Services

Critical Access Hospitals · Kimball, NE
OwnershipGovernment - Local
CMS Certification Number281305
Location255 W 4th StKimball, NE 69145 · Kimball County
Emergency services

Dundy County Hospital

Critical Access Hospitals · Benkelman, NE
OwnershipGovernment - Local
CMS Certification Number281340
LocationP O Box 626, 1313 North Cheyenne StBenkelman, NE 69021 · Dundy County
Emergency services

Chase County Community Hospital

Critical Access Hospitals · Imperial, NE
OwnershipGovernment - Local
CMS Certification Number281351
LocationP O Box 819, 600 W 12th StImperial, NE 69033 · Chase County
Emergency services

Physician 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.

New Patient
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
600 W 12TH ST
IMPERIAL, NE 69033
Physician Assistant
600 W 12TH ST
IMPERIAL, NE 69033
Family Medicine
600 W 12TH ST
IMPERIAL, NE 69033
Clinic/Center (Rural Health)
600 W 12TH ST
IMPERIAL, NE 69033
Physician Assistant
600 W 12TH ST
IMPERIAL, NE 69033
Physical Therapist
600 W 12TH ST
IMPERIAL, NE 69033
Nurse Practitioner (Family)
600 W 12TH ST
IMPERIAL, NE 69033
Physical Therapist
600 W 12TH ST
IMPERIAL, NE 69033

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.

What insurance does Samuel Sims accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., 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, Dundy County Hospital and Chase County Community 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 5 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.