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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760271217

Samantha Dolen is a Nurse Practitioner in Wichita, Kansas. Qualified in 2025, 1 year ago. Practices with Affiliated Family Counselors LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
1
Licensed in
KS
In the registry since
2025
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Practice location Address checks out

1855 N Webb Rd
Wichita, KS 67206-3413
Phone: (316) 636-2888
Fax: (316) 636-2366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 53-84309 (KS)

Record details

NPI number1760271217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Affiliated Family Counselors Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wichita