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

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: October 18, 2026.

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Samantha Dolen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affiliated Family Counselors LLC
1.2 mi
Mental Health
1223 N ROCK RD, BLDG. G - SUITE 100
Wichita, KS 67206
  • Reassigned Medicare billing, Kansas enrollment
  • 32 clinicians in this Medicare group
NPI 1861642803 (316) 636-2888
Soma Psychiatry LLC
6.4 mi
Psychiatric/Mental Health
825 N WACO AVE
Wichita, KS 67203
  • Reassigned Medicare billing, Kansas enrollment
  • 10 clinicians in this Medicare group
NPI 1255166039 (316) 201-6047
Soma Recovery LLC
6.4 mi
Mental Health
825 N WACO AVE
Wichita, KS 67203
  • Reassigned Medicare billing, Kansas enrollment
  • 46 clinicians in this Medicare group
NPI 1750850723 (316) 201-6047

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 20

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

JENNIFER BILLINGSLEY LCSW
Social Worker (Clinical)
1855 N WEBB RD
WICHITA, KS 67206
Sedgwick County (316) 636-2888
LANETTE DYAN MORGAN PA-C
Physician Assistant (Medical)
1855 N WEBB RD
WICHITA, KS 67206
Sedgwick County (316) 636-2888
MRS. CAROLYN (CAROL) A. KIRSCH LCPC
Counselor (Professional)
1855 N WEBB RD
WICHITA, KS 67206
Sedgwick County (316) 636-2888
JENNIFER SCHIERLMAN LMSW
Social Worker
1855 N WEBB RD
WICHITA, KS 67206
Sedgwick County (316) 636-2888
COLE RELPH APRN, PMHMP
Nurse Practitioner (Psychiatric/Mental Health)
1855 N WEBB RD
WICHITA, KS 67206
Sedgwick County (316) 636-2888
VAN VAN
Physician Assistant
1855 N WEBB RD
WICHITA, KS 67206
Sedgwick County (316) 636-2888
OLIVIA MARIE CARTWRIGHT PA-C
Physician Assistant (Medical)
1855 N WEBB RD
WICHITA, KS 67206
Sedgwick County (316) 634-0060
ASHLEY LUDLUM APRN
Nurse Practitioner (Psychiatric/Mental Health)
1855 N WEBB RD
WICHITA, KS 67206
Sedgwick County (316) 636-2888

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 Dolen's NPI number?

The NPI number for Samantha Dolen is 1760271217. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Where is Samantha Dolen located?

Samantha Dolen practices at 1855 N Webb Rd, Wichita, KS 67206. The listed phone number is (316) 636-2888.

What is Samantha Dolen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha Dolen enrolled in Medicare?

Yes. Samantha Dolen 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 Dolen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Dolen reassigns Medicare benefits to 3 organizations: Affiliated Family Counselors LLC (Wichita, KS), Soma Psychiatry LLC (Wichita, KS) and Soma Recovery LLC (Wichita, KS). 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 Dolen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Dolen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 2 other insurers list Samantha Dolen 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 Dolen was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.