Dr Samuel R Sims, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Imperial, Nebraska. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Kimball County Hospital, Sedgwick County Memorial Hospital and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063635621.
Provider's Profile
| Full Name | Dr Samuel R Sims |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 18 Years |
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| Location | 600 W 12th St, Imperial, Nebraska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Samuel R Sims graduated from nursing school in 2008
NPI Data:
- NPI Number: 1063635621
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 03/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 3173690724
- Enrollment ID: I20181221001492
Medical Identifiers
Medical identifiers for Dr Samuel R Sims such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063635621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 101237 (Nebraska) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | D-119772 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C-APN.0100015-C-CRNA (Colorado) | Secondary |
| 163W00000X | Registered Nurse | 119772 (Iowa) | Secondary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | R 100585 (South Carolina) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kimball County Hospital | 5799751004 | 19 |
| Sedgwick County Memorial Hospital | 1052201100 | 15 |
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 Name | Kimball County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326027160
PECOS PAC ID: 5799751004
Enrollment ID: O20040908000971 |
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| Entity Name | Perkins County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437167970
PECOS PAC ID: 0840109823
Enrollment ID: O20041007000699 |
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| Entity Name | Kimball County Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1093780652
PECOS PAC ID: 5799751004
Enrollment ID: O20070222000526 |
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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 Address | Practice Location Address |
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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 |
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