MS. SAMANTHA RAE SHARTLE PA
NPI 1093142283
Physician Assistant in Matthews, NC

Q: What is Samantha Shartle's NPI number?

The NPI number for Samantha Shartle is 1093142283. It was assigned to this individual provider in the NPPES registry on October 2, 2013.

Q: What is Samantha Shartle'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 Shartle was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 02, 2013PECOS EnrolledAccepts Medicare Assignment

9600 E INDEPENDENCE BLVD STE B, MATTHEWS, NC 28105(704) 815-5624(704) 815-5621 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2021, Apr 27, 2021, Apr 16, 2020 (3 updates tracked since 2020).

On this page

About Ms. Samantha Rae Shartle Pa NPPES

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

MS. SAMANTHA RAE SHARTLE PA (NPI 1093142283) is an individual physician assistant in Matthews, North Carolina, licensed in North Carolina (0010-04524) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093142283

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. SAMANTHA RAE SHARTLECredential: PA

Location Address9600 E INDEPENDENCE BLVD STE BMatthews, NC 28105-4628

Mailing AddressPo Box 601843Charlotte, NC 28260-1843

Phone(704) 815-5624

Fax(704) 815-5621

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 2, 2013

Last NPPES UpdateMay 6, 20213 updates tracked since enumeration

NPPES CertifiedMay 6, 2021

✔ NPI 1093142283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NC · 0010-04524✔ Licensed in NC · 195581

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.

9600 E INDEPENDENCE BLVD STE B, Matthews, NC 28105

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Ms. Samantha Rae Shartle Pa 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 ID2264668169

PECOS Enrollment IDI20131125001077

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

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 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.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

MRS. CHERRYL LAI KLITCH PA-C

Physician Assistant