SAMANTHA DOLEN
NPI 1760271217
Nurse Practitioner - Psychiatric/Mental Health in Wichita, KS

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since May 01, 2025PECOS EnrolledAccepts Medicare Assignment

1855 N WEBB RD, WICHITA, KS 67206(316) 636-2888(316) 636-2366 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samantha Dolen NPPES

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

SAMANTHA DOLEN (NPI 1760271217) is an individual psychiatric/mental health provider in Wichita, Kansas, licensed in Kansas (53-84309) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760271217

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSAMANTHA DOLEN

Location Address1855 N WEBB RDWichita, KS 67206-3413

Mailing Address1855 N Webb RdWichita, KS 67206-3413 · (316) 636-2888 · Fax (316) 636-2366

Phone(316) 636-2888

Fax(316) 636-2366

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1760271217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KS · 53-84309

1855 N WEBB RD, Wichita, KS 67206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, Providence Health Plan.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 Dolen 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 ID7810407079

PECOS Enrollment IDI20250607000177

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 67206 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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