SAMANTHA GRACE HENDERSON PA-C
NPI 1013502962
Physician Assistant in Troy, MI

Active since March 03, 2021PECOS Enrolled
80.99/100
CMS Quality Rating
44201 DEQUINDRE RD, TROY, MI 48085(248) 964-5000 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2022, Mar 3, 2021 (2 updates tracked since 2021).

About Samantha Grace Henderson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA GRACE HENDERSON PA-C (NPI 1013502962) is an individual physician assistant in Troy, Michigan, licensed in Michigan (5601010485) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013502962
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA GRACE HENDERSONCredential: PA-C
Location Address44201 DEQUINDRE RDTroy, MI 48085-1117
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Sole ProprietorNo
Enumeration DateMarch 3, 2021
Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
NPI 1013502962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601010485
Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

44201 DEQUINDRE RD, Troy, MI 48085

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Grace Henderson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
44201 DEQUINDRE RD
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Nurse Practitioner (Primary Care)
44201 DEQUINDRE RD
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Emergency Medicine
44201 DEQUINDRE RD, EC
TROY, MI 48085
Speech-Language Pathologist
44201 DEQUINDRE RD
TROY, MI 48085
Nurse Practitioner
44201 DEQUINDRE RD
TROY, MI 48085
Nurse Practitioner (Family)
44201 DEQUINDRE RD
TROY, MI 48085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Henderson's NPI number?

The NPI number for Samantha Henderson is 1013502962. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Samantha Henderson located?

Samantha Henderson practices at 44201 Dequindre Rd, Troy, MI 48085. The listed phone number is (248) 964-5000.

What is Samantha Henderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samantha Henderson enrolled in Medicare?

Yes. Samantha Henderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Henderson was last updated on October 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.