SAMANTHA DEE JENSEN ARNP
NPI 1083487920
Nurse Practitioner in Clive, IA

Q: What is Samantha Jensen's NPI number?

The NPI number for Samantha Jensen is 1083487920. It was assigned to this individual provider in the NPPES registry on November 2, 2023. The provider is also known as Samantha Dee Kucharo.

Q: What is Samantha Jensen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Jensen was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 November 02, 2023PECOS EnrolledAccepts Medicare Assignment

1378 NW 124TH ST # 200, CLIVE, IA 50325(515) 288-6097 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Samantha Dee Jensen Arnp NPPES

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

SAMANTHA DEE JENSEN ARNP (NPI 1083487920) is an individual nurse practitioner in Clive, Iowa, licensed in Iowa (A176763) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Marshalltown, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083487920

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSAMANTHA DEE JENSENCredential: ARNP

Location Address1378 NW 124TH ST # 200Clive, IA 50325-8151

Mailing Address1131 Cornerstone LnPleasant Hill, IA 50327-8916 · (515) 344-1762

Phone(515) 288-6097

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 2, 2023

NPPES CertifiedNovember 2, 2023

✔ NPI 1083487920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IA · A176763

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1378 NW 124TH ST # 200, Clive, IA 50325

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Other Names 1

Former Name (1)Samantha Dee Kucharo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 Dee Jensen Arnp 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 ID6709239494

PECOS Enrollment IDI20240130000647

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 Jensen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iowa Digestive Disease Center P.C.

Same address

Gastroenterology

1378 NW 124TH STREET, SUITE 200
Clive, IA 50325

Reassigned Medicare billing, Iowa enrollment
37 clinicians in this Medicare group

NPI 1275571747 (515) 288-6097

Cnr Development, LLC

47 mi

Dermatology

404 JEFFERSON ST
Pella, IA 50219

Reassigned Medicare billing, Iowa enrollment
4 clinicians in this Medicare group

NPI 1699241240 (515) 207-9358

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

Areas of Expertise CMS Part B claims 6

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

82 services82 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

81 services51 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

65 services60 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

64 services64 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Marshalltown

Acute Care Hospitals · Marshalltown, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number160001

Location55 Unitypoint WayMarshalltown, IA 50158 · Marshall County

Emergency services

Pella Regional Health Center

Critical Access Hospitals · Pella, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number161367

Location404 Jefferson StreetPella, IA 50219 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50325 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jensen's NPI number?

The NPI number for Samantha Jensen is 1083487920. It was assigned to this individual provider in the NPPES registry on November 2, 2023. The provider is also known as Samantha Dee Kucharo.

Where is Samantha Jensen located?

Samantha Jensen practices at 1378 NW 124th St # 200, Clive, IA 50325. The listed phone number is (515) 288-6097.

What is Samantha Jensen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samantha Jensen enrolled in Medicare?

Yes. Samantha Jensen 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 Samantha Jensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Jensen reassigns Medicare benefits to 2 organizations: Iowa Digestive Disease Center P.C. (Clive, IA) and Cnr Development, LLC (Pella, IA). 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 Samantha Jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Jensen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Samantha Jensen 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 Jensen affiliated with any hospitals?

According to CMS data, Samantha Jensen is affiliated with Unitypoint Health - Marshalltown and Pella Regional Health Center.

When was this NPI record last updated?

The NPPES record for Samantha Jensen was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.