SAMANTHA HART PA-S
NPI 1083349849
Student in an Organized Health Care Education/Training Program in Pocatello, ID

Q: What is Samantha Hart's NPI number?

The NPI number for Samantha Hart is 1083349849. It was assigned to this individual provider in the NPPES registry on July 17, 2022.

Q: What is Samantha Hart's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Hart was last updated on July 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 17, 2022PECOS EnrolledAccepts Medicare Assignment

921 S 8TH AVE STOP 8253, POCATELLO, ID 83209(208) 282-4726 Get Directions Write a Review

NPPES record last updated: July 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samantha Hart Pa-s NPPES

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

SAMANTHA HART PA-S (NPI 1083349849) is an individual student in an organized health care education/training program in Pocatello, Idaho and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083349849

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA HARTCredential: PA-S

Location Address921 S 8TH AVE STOP 8253Pocatello, ID 83209-0002

Mailing Address921 S 8th Ave Stop 8253Pocatello, ID 83209-0002 · (208) 282-4726

Phone(208) 282-4726

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 17, 2022

NPPES CertifiedJuly 17, 2022

✔ NPI 1083349849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

921 S 8TH AVE STOP 8253, Pocatello, ID 83209

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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 and accepts Medicare assignment

Samantha Hart Pa-s 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 ID3375909450

PECOS Enrollment IDI20230515003372

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 2

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

51 services49 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

26 services26 patients

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.

HAO YAN

Student in an Organized Health Care Education/Training Program