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

Samantha Shepard

Individual provider Registered Nurse · NPI 1962132134

Samantha Shepard is a Nurse Practitioner in Pittsburg, Kansas. Qualified in 2023, 3 years ago. Practices with Community Health Center of Southeast Kansas Inc, a 111-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
3
Licensed in
KS
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1011 S Mount Carmel Pl
Pittsburg, KS 66762-6604
Phone: (620) 670-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 82348 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 13-115964 (KS)

Record details

NPI number1962132134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2022
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023
Mailing addressPo Box 1832, Pittsburg, KS 66762-1832

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Health Center Of Southeast Kansas Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pittsburg