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

Samantha Marie Nicolace

Individual provider Certified Registered Nurse Anesthetist · NPI 1356186290

Samantha Marie Nicolace is a Certified Registered Nurse Anesthetist (CRNA) in Kansas City, Kansas. Qualified in 2024, 2 years ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
2
Licensed in
KS
In the registry since
2024

Practice location Address checks out

4000 Cambridge St
Kansas City, KS 66160-8501
Phone: (913) 588-5000
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 43-558199-122 (KS)

Record details

NPI number1356186290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kansas City