Mrs Samantha Jayne Kelly, FNP-C - Medicare Nurse Practitioner in Lincoln, MO

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Mrs Samantha Jayne Kelly, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lincoln, Missouri. Her current practice location is 302 Us-65, Lincoln, Missouri. You can reach out to her office (for appointments etc.) via phone at (660) 547-3915.

Mrs Samantha Jayne Kelly is licensed to practice in Missouri (license number 2023027198) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740968080.

Contact Information

Mrs Samantha Jayne Kelly, FNP-C
302 Us-65,
Lincoln, MO 65338-2012
(660) 547-3915
Not Available

Map and Direction




Provider's Profile

Full NameMrs Samantha Jayne Kelly
GenderFemale
SpecialityNurse Practitioner - Family
Location302 Us-65, Lincoln, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740968080
  • Provider Enumeration Date: 07/07/2023
  • Last Update Date: 07/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274993589
  • Enrollment ID: I20230718004185

Medical Identifiers

Medical identifiers for Mrs Samantha Jayne Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740968080NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2023027198 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Samantha Jayne Kelly allows following entities to bill medicare on her behalf.
Entity NameBothwell Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235102690
PECOS PAC ID: 6103714126
Enrollment ID: O20040310000246

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Samantha Jayne Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Samantha Jayne Kelly, FNP-C
31963 Hwy Ad,
Cole Camp, MO 65325-2823

Ph: (660) 281-1006		Mrs Samantha Jayne Kelly, FNP-C
302 Us-65,
Lincoln, MO 65338-2012

Ph: (660) 547-3915

Reviews and Comments


Nurse Practitioner Nurses in Lincoln, MO

Cara Arender, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 302 North Highway 65, Lincoln, MO 65338
Phone: 660-547-3915    
April Ream,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 302 S 65 Hwy, Lincoln, MO 65338
Phone: 660-547-3915    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.