Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samuel Larking Rayburn, PA-C

Individual provider Physician Assistant · NPI 1659830313

Samuel Larking Rayburn, PA-C is a Physician Assistant in Hastings, Nebraska. Qualified in 2018, 8 years ago. Practices with The Mary Lanning Memorial Hospital Association, a 125-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
8
Licensed in
NE
In the registry since
2019
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

2207 Osborne Dr W Ste 100
Hastings, NE 68901-9111
Phone: (402) 462-2139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2335 (NE)

Record details

NPI number1659830313
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 13, 2019
Last updated in NPPESMarch 13, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Mary Lanning Memorial Hospital Association — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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