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SAMUEL R NATHAN PA-S
NPI 1083469142
Physician Assistant in Wentzville, MO

Active since April 22, 2024PECOS EnrolledAccepts Medicare Assignment
801 MEDICAL DR STE 400, WENTZVILLE, MO 63385(636) 332-8455 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2024, Apr 23, 2024 (2 updates tracked since 2024).

About Samuel R Nathan Pa-s NPPES

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

SAMUEL R NATHAN PA-S (NPI 1083469142) is an individual physician assistant in Wentzville, Missouri, licensed in Missouri (2024027697) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in Saint Charles.

NPPES Registry Identity

NPI1083469142
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL R NATHANCredential: PA-S
Location Address801 MEDICAL DR STE 400Wentzville, MO 63385-3824
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Phone(636) 332-8455
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 22, 2024
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1083469142 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 MO · 2024027697
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.
801 MEDICAL DR STE 400, Wentzville, MO 63385
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Other Names 1

Professional Name (2)Samuel R Nathan Pa-s

Secondary Practice Location 1

Location 11475 Kisker Rd Ste 100Saint Charles, MO 63304-8787 · Phone (636) 332-8455

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Samuel R Nathan 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 ID6204372972
PECOS Enrollment IDI20240718003002
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 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63385 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 4

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

SSM MEDICAL GROUP INC.
Durable Medical Equipment & Medical Supplies
801 MEDICAL DR STE 400
WENTZVILLE, MO 63385
St. Charles County (636) 332-8555
HANNAH COTTRELL
Physician Assistant
801 MEDICAL DR STE 400
WENTZVILLE, MO 63385
St. Charles County (636) 332-8455
MRS. KIRA RYNEA BURGIN ATC
Specialist/Technologist (Athletic Trainer)
801 MEDICAL DR STE 400
WENTZVILLE, MO 63385
St. Charles County (636) 332-8455
MS. ANGELA M PASSANISE D.O.
Orthopaedic Surgery (Sports Medicine)
801 MEDICAL DR STE 400
WENTZVILLE, MO 63385
St. Charles County (636) 332-8455

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 Samuel Nathan's NPI number?

The NPI number for Samuel Nathan is 1083469142. It was assigned to this individual provider in the NPPES registry on April 22, 2024. The provider is also known as Samuel R Nathan Pa-S.

Where is Samuel Nathan located?

Samuel Nathan practices at 801 Medical Dr Ste 400, Wentzville, MO 63385. The listed phone number is (636) 332-8455.

What is Samuel Nathan's specialty?

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

Is Samuel Nathan enrolled in Medicare?

Yes. Samuel Nathan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Nathan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Samuel Nathan 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 Samuel Nathan affiliated with any hospitals?

According to CMS data, Samuel Nathan is affiliated with Ssm St Joseph Health Center and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Samuel Nathan was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.