1. Home
  2. Directory
  3. Michigan
  4. South Haven
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA LEE EMERSON PA-C
NPI 1083595268
Physician Assistant in South Haven, MI

Active since September 11, 2025PECOS Enrolled
955 S BAILEY AVE STE 200, SOUTH HAVEN, MI 49090(269) 639-2772 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 28, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Samantha Lee Emerson Pa-c NPPES

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

SAMANTHA LEE EMERSON PA-C (NPI 1083595268) is an individual physician assistant in South Haven, Michigan and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1083595268
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA LEE EMERSONCredential: PA-C
Location Address955 S BAILEY AVE STE 200South Haven, MI 49090-6743
Mailing Address955 S Bailey Ave Ste 200South Haven, MI 49090-6743
Phone(269) 639-2772
Sole ProprietorYes
Enumeration DateSeptember 11, 2025
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1083595268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
955 S BAILEY AVE STE 200, South Haven, MI 49090
Open in Google Maps ↗

Secondary Practice Location 1

Location 13230 Eagle Park Dr NEGrand Rapids, MI 49525-7007 · Phone (616) 988-2229 · Fax (616) 988-2010

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

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 49090 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 8

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

MARK WELLS KEMP DO
Internal Medicine
955 S BAILEY AVE STE 200
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2777
MRS. TRISHA LYNN FARRELL CNM, WHNP, MS
Advanced Practice Midwife
955 S BAILEY AVE STE 200
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2720
BRONSON SOUTH HAVEN HOSPITAL
Clinic/Center (Rural Health)
955 S BAILEY AVE STE 200
SOUTH HAVEN, MI 49090
Van Buren County (269) 637-5271
MEGHAN RZESZUTKO FNP
Nurse Practitioner (Family)
955 S BAILEY AVE STE 200
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2772
AMANDA SUMERIX PHARMD
Pharmacist (Ambulatory Care)
955 S BAILEY AVE STE 200
SOUTH HAVEN, MI 49090
Van Buren County (269) 686-6309
MITCHEL M ALLARD MD
Family Medicine
955 S BAILEY AVE STE 200
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2772
DR. TERESA ANSINN ANP
Nurse Practitioner (Adult Health)
955 S BAILEY AVE STE 200
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2777
KATHERINE ELIZABETH HAMPTON FNP
Nurse Practitioner (Family)
955 S BAILEY AVE STE 200
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2772

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 Emerson's NPI number?

The NPI number for Samantha Emerson is 1083595268. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Samantha Emerson located?

Samantha Emerson practices at 955 S Bailey Ave Ste 200, South Haven, MI 49090. The listed phone number is (269) 639-2772.

What is Samantha Emerson's specialty?

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

Is Samantha Emerson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Emerson was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.