Samantha Ellen Pederson, PA-C
Medical Physician Assistant · Henderson, NE
Samantha Ellen Pederson, PA-C is a medical physician assistant with a practice address in Henderson, Nebraska, and NPI 1033885504, issued on Aug 17, 2021. Check the license (Nebraska 2565, as entered in NPPES) with the Nebraska board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samantha Ellen Pederson
- Credential
- PA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 2565 NE
Self-reported in NPPES; status is on the state search - Practice location
- 1621 Front St, Henderson, NE 68371
- Phone
- (402) 723-4512
- Enumerated
- Aug 17, 2021
- Record last updated
- Jun 30, 2026
- Fax
- (402) 723-4520
- Medicare enrollment
- Enrolled (PECOS I20210902000662); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 294 in Nebraska → Look up another NPI →
Also registered at 1621 Front St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Samantha Ellen Pederson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Nebraska board licenses this profession
Search for license 2565Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
7% more Medicare Part D claims than the average medical physician assistant in 2024
1,225 Medicare Part D claims for 241 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. 23 claims were for opioids.
Most prescribed
- Ozempic95 claims
- Atorvastatin Calcium48 claims
- Levothyroxine Sodium42 claims
- Rosuvastatin Calcium42 claims
- Alprazolam39 claims
- Farxiga36 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $1,258.45
61 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Edgewood Family Physicians PCLincoln, NE
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samantha Ellen Pederson among 294 medical physician assistant records in Nebraska
Samantha Ellen Pederson, PA-C is one of 294 medical physician assistant records with a practice address in Nebraska. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 88% of them.
- NPI issued2021 · 88% of these records are older, 9% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2020 · median 2007 among the 172 with a school on file
- Record last updated2026 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Nebraska practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 medical physician assistant records list a practice address in Henderson
They are 2 of the 17 NPPES records with a practice address in Henderson, and 294 medical physician assistant records in Nebraska.
All 294 in Nebraska → Every provider in Henderson → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Cortney Van Den BergHenderson, NE 683711437519717
- Russell Coash, PA-CGeneva, NE 683611154371045
- Michelle Dorsey, PA-CGeneva, NE 683611013241454
- Michael Karel, PAFriend, NE 683591841201258
- Suree Schilz, PA-CFriend, NE 683591194894121
- Niki Deeds, PA-CFalls City, NE 683551679840284
- Vicki Arnold, PA-CFairbury, NE 683521487625414
- Douglas Ruzicka, PA-CFairbury, NE 683521932170966
Common questions
What is Samantha Ellen Pederson, PA-C's NPI number?
Samantha Ellen Pederson, PA-C's National Provider Identifier (NPI) is 1033885504, issued on Aug 17, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Samantha Ellen Pederson, PA-C located?
The NPPES record lists a practice address at 1621 Front St, Henderson, NE, 68371. Phone: (402) 723-4512. Providers update this record themselves, so call before visiting.
How can I verify Samantha Ellen Pederson, PA-C's license?
NPPES lists Nebraska license number 2565, as entered by the provider. Search the Nebraska board that licenses this profession; the NPPES record confirms identity only.
How much does Samantha Ellen Pederson, PA-C prescribe under Medicare Part D?
In 2024, Samantha Ellen Pederson, PA-C had 1,225 Medicare Part D claims for 241 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.