Individual provider · Type 1 NPI

Stacey M. Samuel, PA-C

Physician Assistant · Omaha, NE

NPI number 1417507260 Active

Practice location

6901 N 72nd St
Omaha, NE 68122-1709

Call (855) 524-4001 Map

Fax (402) 572-3206

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2396 (NE)
Physician Assistant 363A00000X098001 (IA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1417507260

Stacey M. Samuel, PA-C's National Provider Identifier is 1417507260, issued on Sep 13, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Omaha, NE. The record was last updated on Oct 20, 2026.