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MRS. TRACI DAWN SAMBOLIN NP
NPI 1457668295
Nurse Practitioner - Adult Health in Columbia, MO

Active since August 31, 2010PECOS EnrolledAccepts Medicare Assignment
80.61/100
CMS Quality Rating
800 HOSPITAL DR, COLUMBIA, MO 65201(573) 838-0847 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Feb 21, 2023, Aug 26, 2019 (3 updates tracked since 2019).

About Mrs. Traci Dawn Sambolin Np NPPES

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

MRS. TRACI DAWN SAMBOLIN NP (NPI 1457668295) is an individual adult health provider in Columbia, Missouri, licensed in Missouri (2013017560) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Lake Regional Health System, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1457668295
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. TRACI DAWN SAMBOLINCredential: NP
Location Address800 HOSPITAL DRColumbia, MO 65201-5275
Mailing Address5305 Westward LnJefferson City, MO 65109-1550 · (573) 433-0738
Phone(573) 838-0847
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 31, 2010
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1457668295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2013017560
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2013017560 (MO)
800 HOSPITAL DR, Columbia, MO 65201
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Traci Dawn Shepherd

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

Mrs. Traci Dawn Sambolin Np 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 ID8224270897
PECOS Enrollment IDI20130809000690
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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
84 services82 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
83 services83 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.
54 services44 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
34 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

80.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.19
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$21.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$119.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. CHUNHAN H MA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
800 HOSPITAL DR
COLUMBIA, MO 65201
Boone County (573) 814-6000
JEFFREY A ROBERTS LCSW
Social Worker (Clinical)
800 HOSPITAL DR
COLUMBIA, MO 65201
Boone County (573) 814-6000
MICHELLE MIDDLETON WOODSON M.D.
Internal Medicine
800 HOSPITAL DR
COLUMBIA, MO 65201
Boone County (573) 814-6000
JANIS M SEARS APN-C
Nurse Practitioner (Family)
800 HOSPITAL DR
COLUMBIA, MO 65201
Boone County (573) 814-6000
MR. ROBERT ALAN RUCKER
Counselor
800 HOSPITAL DR
COLUMBIA, MO 65201
Boone County (619) 507-6911
MELISSA ANN VANSTEENBURGH LCSW
Social Worker (Clinical)
800 HOSPITAL DR, HARRY S TRUMAN MEMORIAL VETERANS HOSPITAL
COLUMBIA, MO 65201
Boone County (573) 814-6000
MRS. LISA ANN JENNINGS ACNP
Nurse Practitioner (Acute Care)
800 HOSPITAL DR
COLUMBIA, MO 65201
Boone County (573) 814-6465
JOCELYN N ABANES PSY.D
Psychologist
800 HOSPITAL DR
COLUMBIA, MO 65201
Boone County (573) 814-6000

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 Traci Sambolin's NPI number?

The NPI number for Traci Sambolin is 1457668295. It was assigned to this individual provider in the NPPES registry on August 31, 2010. The provider is also known as Ms. Traci Dawn Shepherd.

Where is Traci Sambolin located?

Traci Sambolin practices at 800 Hospital Dr, Columbia, MO 65201. The listed phone number is (573) 838-0847.

What is Traci Sambolin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Traci Sambolin enrolled in Medicare?

Yes. Traci Sambolin 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.

Is Traci Sambolin affiliated with any hospitals?

According to CMS data, Traci Sambolin is affiliated with Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Traci Sambolin was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.