SAMANTHA MARIE WATTS PA-C
NPI 1043877384
Physician Assistant in Fort Worth, TX

Q: What is Samantha Watts's NPI number?

The NPI number for Samantha Watts is 1043877384. It was assigned to this individual provider in the NPPES registry on May 22, 2019. The provider is also known as Samantha Marie Wall.

Q: What is Samantha Watts's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Watts was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2019PECOS EnrolledAccepts Medicare Assignment

1250 8TH AVE STE 200, FORT WORTH, TX 76104(817) 912-8240 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2023, Aug 9, 2022, May 22, 2019 (3 updates tracked since 2019).

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About Samantha Marie Watts Pa-c NPPES

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

SAMANTHA MARIE WATTS PA-C (NPI 1043877384) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA12869) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043877384

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA MARIE WATTSCredential: PA-C

Location Address1250 8TH AVE STE 200Fort Worth, TX 76104-4158

Mailing Address3408 Grants LndgFort Worth, TX 76179-3853 · (435) 659-9821

Phone(817) 912-8240

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 22, 2019

Last NPPES UpdateMay 30, 20233 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1043877384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA12869

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.

Also ListedHospitalistTaxonomy 208M00000X · License 193400000X (TX)

1250 8TH AVE STE 200, Fort Worth, TX 76104

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Other Names 1

Former Name (1)Samantha Marie Wall

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Marie Watts Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800125881

PECOS Enrollment IDI20190917002737

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450137

Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

Other Providers at the Same Location NPPES 5

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

MOHAMMAD ALQAIM M.D.

Surgery (Vascular Surgery)