Dr Samuel R Sims, CRNA - Medicare Nurse Anesthetist, Certified Registered in Imperial, NE

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Dr Samuel R Sims, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Imperial, Nebraska. His current practice location is 600 W 12th St, Imperial, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 882-7111.

Dr Samuel R Sims is licensed to practice in Nebraska (license number 101237) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063635621.

Contact Information

Dr Samuel R Sims, CRNA
600 W 12th St,
Imperial, NE 69033-3130
(308) 882-7111
Not Available

Map and Direction




Provider's Profile

Full NameDr Samuel R Sims
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location600 W 12th St, Imperial, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063635621
  • Provider Enumeration Date: 04/11/2007
  • Last Update Date: 07/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3173690724
  • Enrollment ID: I20110504000234

Medical Identifiers

Medical identifiers for Dr Samuel R Sims such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063635621NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 119772 (Iowa)Secondary
163WC0200XRegistered Nurse - Critical Care Medicine R 100585 (South Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered D-119772 (Iowa)Secondary
367500000XNurse Anesthetist, Certified Registered 101237 (Nebraska)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samuel R Sims allows following entities to bill medicare on his behalf.
Entity NameYuma District Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841343407
PECOS PAC ID: 6305758830
Enrollment ID: O20031223000344
Entity NameSedgwick County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881602738
PECOS PAC ID: 1052201100
Enrollment ID: O20040326000232
Entity NameWray Community District Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477587202
PECOS PAC ID: 3274425038
Enrollment ID: O20040326000383
Entity NameEast Phillips County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891733879
PECOS PAC ID: 9638161615
Enrollment ID: O20040331000584
Entity NameKit Carson County Health Services District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932211596
PECOS PAC ID: 4385637917
Enrollment ID: O20040407001317
Entity NameKit Carson County Health Services District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1184711475
PECOS PAC ID: 4385637917
Enrollment ID: O20080204000637
Entity NameLincoln Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1720107519
PECOS PAC ID: 8729987219
Enrollment ID: O20101018001199
Entity NameWray Community District Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1083640239
PECOS PAC ID: 3274425038
Enrollment ID: O20161220001701
Entity NameSedgwick County Memorial Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1740295591
PECOS PAC ID: 1052201100
Enrollment ID: O20210315002385

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel R Sims is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samuel R Sims, CRNA
905 Sherman Ave,
Grant, NE 69140-3027

Ph: (712) 790-2949		Dr Samuel R Sims, CRNA
600 W 12th St,
Imperial, NE 69033-3130

Ph: (308) 882-7111

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Imperial, NE


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.