SAMANTHA MARGARET KENNEMER FNP
NPI 1629802145
Nurse Practitioner - Family in Springfield, MO
About Samantha Margaret Kennemer Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA MARGARET KENNEMER FNP (NPI 1629802145) is an individual family provider in Springfield, Missouri, licensed in Missouri (2024015966) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (2023).
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 Margaret Kennemer Fnp 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 Reassignments
3Medicare enrollment records show Samantha Kennemer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 169 clinicians in this Medicare group
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 1,487 clinicians in this Medicare group
Hermitage, MO 65613
- Reassigned Medicare billing, Missouri enrollment
- 35 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Citizens Memorial Hospital
Acute Care Hospitals · Bolivar, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
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 Kennemer's NPI number?
The NPI number for Samantha Kennemer is 1629802145. It was assigned to this individual provider in the NPPES registry on August 27, 2024.
Where is Samantha Kennemer located?
Samantha Kennemer practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-2000.
What is Samantha Kennemer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Kennemer enrolled in Medicare?
Yes. Samantha Kennemer 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 Kennemer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kennemer reassigns Medicare benefits to 3 organizations: Mercy Hospital Springfield (Springfield, MO), Mercy Clinic Springfield Communities (Springfield, MO) and Ozarks Resource Group (Hermitage, MO). 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 Kennemer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Kennemer accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Samantha Kennemer 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 Kennemer affiliated with any hospitals?
According to CMS data, Samantha Kennemer is affiliated with Citizens Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Samantha Kennemer was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Margaret Kennemer, FNP · NPI 1629802145
Family physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since August 27, 2024.
## Identity
- **NPI:** 1629802145 (Entity type: Individual)
- **Enumerated:** August 27, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2024015966 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1235 E CHEROKEE ST, Springfield, MO 65804-2203
- **Phone:** (417) 820-2000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Mercy Hospital Springfield (NPI 1043242159, Springfield, MO); Mercy Clinic Springfield Communities (NPI 1245277631, Springfield, MO); Ozarks Resource Group (NPI 1639421050, Hermitage, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629802145) · Data from the CMS NPPES public registry.