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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. SAMANTHA ERIN CLEM PA-C
NPI 1063818334
Physician Assistant in Bellevue, WA

Active since November 13, 2014PECOS Enrolled
2015 116TH AVE NE, BELLEVUE, WA 98004(877) 445-6828(424) 253-0814 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Apr 29, 2021 (2 updates tracked since 2021).

About Ms. Samantha Erin Clem Pa-c NPPES

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

MS. SAMANTHA ERIN CLEM PA-C (NPI 1063818334) is an individual physician assistant in Bellevue, Washington, licensed in Washington (PA61146565) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1063818334
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SAMANTHA ERIN CLEMCredential: PA-C
Location Address2015 116TH AVE NEBellevue, WA 98004-3018
Mailing Address2340 Clay St Fl 6San Francisco, CA 94115-1932 · (877) 445-6828 · Fax (424) 253-0814
Phone(877) 445-6828
Fax(424) 253-0814
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 13, 2014
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1063818334 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 WA · PA61146565
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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA67280 (CA)
2015 116TH AVE NE, Bellevue, WA 98004
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12250 Hayes St Ste 612San Francisco, CA 94117-1078 · Phone (877) 445-6828 · Fax (424) 253-0814
Location 216300 Sand Canyon Ave Ste 614Irvine, CA 92618-3706 · Phone (877) 445-6828 · Fax (424) 253-0814
Location 39834 Genesee Ave Ste 411LA Jolla, CA 92037-1264 · Phone (877) 445-6828 · Fax (424) 253-0814
Location 49025 Wilshire Blvd Ste 202Beverly Hills, CA 90211-1825 · Phone (877) 445-6828 · Fax (424) 253-0814

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1951624055
PECOS Enrollment IDI20260701003480
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services58 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.53 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

MILLIE Y. TUNG, M.D.
Specialist
2015 116TH AVE NE, SUITE B
BELLEVUE, WA 98004
King County (425) 453-8406
BELLEVUE KIDNEY SPECIALISTS PLLC
Internal Medicine (Nephrology)
2015 116TH AVE NE, SUITE B
BELLEVUE, WA 98004
King County (425) 453-8406
NEUROVASCULAR INSTITUTE PLLC
Psychiatry & Neurology (Vascular Neurology)
2015 116TH AVE NE
BELLEVUE, WA 98004
King County (425) 331-9706
DR. AFSHIN BIDARI M.D.
Hospitalist
2015 116TH AVE NE
BELLEVUE, WA 98004
King County (425) 260-5225
DR. SHIRIN SALIM ISSA M.D.
Psychiatry & Neurology (Neurology)
2015 116TH AVE NE
BELLEVUE, WA 98004
King County (425) 786-2777
MILLIE Y TUNG MD FACP
Internal Medicine (Nephrology)
2015 116TH AVE NE, SUITE B
BELLEVUE, WA 98004
King County (425) 453-8406
ANNEMARIE C DOOLEY
Internal Medicine (Nephrology)
2015 116TH AVE NE, SUITE B
BELLEVUE, WA 98004
King County (425) 453-8406
PHILIP KING, M.D.
Specialist
2015 116TH AVE NE, SUITE B
BELLEVUE, WA 98004
King County (425) 453-8406

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 Clem's NPI number?

The NPI number for Samantha Clem is 1063818334. It was assigned to this individual provider in the NPPES registry on November 13, 2014.

Where is Samantha Clem located?

Samantha Clem practices at 2015 116th Ave NE, Bellevue, WA 98004. The listed phone number is (877) 445-6828.

What is Samantha Clem's specialty?

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

Is Samantha Clem enrolled in Medicare?

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

What insurance does Samantha Clem accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Samantha Clem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samantha Clem affiliated with any hospitals?

According to CMS data, Samantha Clem is affiliated with Providence Regional Medical Center Everett.

When was this NPI record last updated?

The NPPES record for Samantha Clem was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.