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

Samantha Ellen Pederson, PA-C

Individual provider Family Medicine Physician · NPI 1033885504

Samantha Ellen Pederson, PA-C is a Physician Assistant in Henderson, Nebraska. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Nebraska.

Years since qualifying
6
Licensed in
NE
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1621 Frnt ST
Henderson, NE 68371-8902
Phone: (402) 723-4512
Fax: (402) 723-4520
Show map & directions

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

Additional practice locations (1)

  • 208 N French Ave, Sutton, NE 68979-2215 — (402) 773-2130

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2565 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2565 (NE)

Record details

NPI number1033885504
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2021
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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