SAMANTHA G EDWIN PA-C
NPI 1063377299
Physician Assistant in Eagle Pass, TX

Q: What is Samantha Edwin's NPI number?

The NPI number for Samantha Edwin is 1063377299. It was assigned to this individual provider in the NPPES registry on December 19, 2025.

Q: What is Samantha Edwin'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 Edwin was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 December 19, 2025PECOS Enrolled

1175 EIDSON RD, EAGLE PASS, TX 78852(830) 757-6946 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Apr 7, 2026, Jan 23, 2026 and 1 more (4 updates tracked since 2025).

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About Samantha G Edwin Pa-c NPPES

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

SAMANTHA G EDWIN PA-C (NPI 1063377299) is an individual physician assistant in Eagle Pass, Texas, licensed in Texas (PA19836) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063377299

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA G EDWINCredential: PA-C

Location Address1175 EIDSON RDEagle Pass, TX 78852-5403

Mailing Address2525 N Veterans BlvdEagle Pass, TX 78852-3302 · (830) 773-8917 · Fax (855) 697-4623

Phone(830) 757-6946

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 19, 2025

Last NPPES UpdateApril 21, 20264 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1063377299 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 TX · PA19836

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.

1175 EIDSON RD, Eagle Pass, TX 78852

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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 G Edwin Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567944010

PECOS Enrollment IDI20260304000774

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 78852 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 6

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

UNITED MEDICAL CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))