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

Stacey M Samuel, PA-C

Individual provider Physician Assistant · NPI 1417507260

Stacey M Samuel, PA-C is a Physician Assistant in Omaha, Nebraska. Qualified in 2019, 7 years ago. Practices with Unmc Physicians, a 1,484-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
7
Licensed in
IA, NE
In the registry since
2019
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6901 N 72nd St
Omaha, NE 68122-1709
Phone: (855) 524-4001
Fax: (402) 572-3206
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2396 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 098001 (IA)

Record details

NPI number1417507260
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2019
Last updated in NPPESSeptember 13, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Unmc Physicians — 1484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Omaha