SAMANTHA SHOLES MD
NPI 1457889792
Family Medicine in Omaha, NE
About Samantha Sholes Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA SHOLES MD (NPI 1457889792) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (7928) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Faith Regional Health Services, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Samantha Sholes Md 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 Reassignment
Medicare enrollment records show Samantha Sholes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atkinson, NE 68713
- Reassigned Medicare billing, Nebraska enrollment
- Also billed through NPI 1366492472 (Nebraska)
- 8 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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Faith Regional Health Services
Acute Care Hospitals · Norfolk, NEAvera St Anthony's Hospital
Critical Access Hospitals · O' Neill, NEWest Holt Memorial Hospital
Critical Access Hospitals · Atkinson, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68198 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Sholes's NPI number?
The NPI number for Samantha Sholes is 1457889792. It was assigned to this individual provider in the NPPES registry on May 31, 2017.
Where is Samantha Sholes located?
Samantha Sholes practices at Unmc Division Of General Internal Medicine 986430 Nebraska Medical Center, Omaha, NE 68198. The listed phone number is (402) 559-7502.
What is Samantha Sholes's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samantha Sholes enrolled in Medicare?
Yes. Samantha Sholes 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 organization bills Medicare for Samantha Sholes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Sholes reassigns Medicare benefits to West Holt Memorial Hospital (Atkinson, NE). The 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 Sholes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Sholes accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Samantha Sholes 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 Sholes affiliated with any hospitals?
According to CMS data, Samantha Sholes is affiliated with Faith Regional Health Services, Avera St Anthony's Hospital and West Holt Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Samantha Sholes was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Samantha Sholes, MD · NPI 1457889792
Family Medicine physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since May 31, 2017.
## Identity
- **NPI:** 1457889792 (Entity type: Individual)
- **Enumerated:** May 31, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 7928 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** UNMC DIVISION OF GENERAL INTERNAL MEDICINE, 986430 NEBRASKA MEDICAL CENTER, Omaha, NE 68198-6430
- **Phone:** (402) 559-7502
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** West Holt Memorial Hospital (NPI 1295785442, Atkinson, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 31, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1457889792) · Data from the CMS NPPES public registry.