MEDICARE: MRS. SAMANTHA JO CAHILL APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	115602	NE

General Provider Information

NPI Number	:	1982430914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SAMANTHA JO CAHILL APRN

Provider Business Mailing Address
First Line	:	4508 38TH ST STE 250
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1668
Country	:	US
Telephone Number	:	402-948-2556
Fax Number	:

Provider Business Practice Location Address
First Line	:	4508 38TH ST STE 250
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1668
Country	:	US
Telephone Number	:	402-948-2556
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	02/24/2026

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