Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sam River Holmes, PA-C

Individual provider Physician Assistant · NPI 1295104891

Sam River Holmes, PA-C is a Physician Assistant in Merriam, Kansas. Qualified in 2015, 11 years ago. Practices with Shawnee Mission Medical Center Inc, a 277-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
11
Licensed in
KS
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7450 Kessler St Ste 300
Merriam, KS 66204-2550
Phone: (913) 632-2900
Fax: (913) 831-6880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-01841 (KS)

Record details

NPI number1295104891
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2015
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address7450 Kessler St Ste 300, Merriam, KS 66204-2550

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Shawnee Mission Medical Center Inc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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