SAMANTHA PALOMER BALSOMO NP-C
NPI 1366085698
Nurse Practitioner - Family in Las Vegas, NV

Active since October 18, 2019PECOS EnrolledAccepts Medicare Assignment
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113(702) 952-9171(702) 952-9170 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2022, Nov 14, 2019, Nov 5, 2019 and 1 more (4 updates tracked since 2019).

About Samantha Palomer Balsomo Np-c NPPES

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

SAMANTHA PALOMER BALSOMO NP-C (NPI 1366085698) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (823754) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366085698
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA PALOMER BALSOMOCredential: NP-C
Location Address6355 S BUFFALO DR FL 3Las Vegas, NV 89113-2133
Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346
Fax(702) 952-9170
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 18, 2019
Last NPPES UpdateNovember 1, 20224 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
NPI 1366085698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NV · 823754
6355 S BUFFALO DR FL 3, Las Vegas, NV 89113

Secondary Practice Location 1

Location 11000 S Rainbow Blvd Ste ALas Vegas, NV 89145-6231 · Phone (702) 952-9171 · Fax (702) 952-9136

Other Identifiers 2

Medicaid1366085698NV
Other823754NV · State License

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

Samantha Palomer Balsomo Np-c 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 ID1153754676
PECOS Enrollment IDI20191213000767
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89113 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 89113
Nurse Practitioner
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 89113
Family Medicine (Geriatric Medicine)
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 89113
Obstetrics & Gynecology
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 89113
Nurse Practitioner
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 89113
Family Medicine
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 89113
Nurse Practitioner (Adult Health)
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 89113
Nurse Practitioner (Adult Health)
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 89113

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 Balsomo's NPI number?

The NPI number for Samantha Balsomo is 1366085698. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Samantha Balsomo located?

Samantha Balsomo practices at 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113. The listed phone number is (702) 952-9171.

What is Samantha Balsomo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Balsomo enrolled in Medicare?

Yes. Samantha Balsomo 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 Samantha Balsomo accept?

Health plans from Ambetter from Arizona Complete Health list Samantha Balsomo 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.

When was this NPI record last updated?

The NPPES record for Samantha Balsomo was last updated on November 1, 2022. 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.