MRS. SAMANTHA MARIE MILLAR PA-C
NPI 1114564929
Physician Assistant - Surgical in Olympia, WA

Active since December 01, 2019PECOS EnrolledAccepts Medicare Assignment
88.48/100
CMS Quality Rating
700 LILLY RD NE, OLYMPIA, WA 98506(360) 923-7000(360) 923-7089 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2023, Oct 27, 2022, May 10, 2021 (3 updates tracked since 2021).

About Mrs. Samantha Marie Millar Pa-c NPPES

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

MRS. SAMANTHA MARIE MILLAR PA-C (NPI 1114564929) is an individual surgical provider in Olympia, Washington, licensed in Washington (PA61122181) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114564929
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. SAMANTHA MARIE MILLARCredential: PA-C
Location Address700 LILLY RD NEOlympia, WA 98506-5115
Mailing Address700 Lilly Rd NeOlympia, WA 98506-5196 · (360) 923-7000 · Fax (360) 923-7089
Fax(360) 923-7089
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 1, 2019
Last NPPES UpdateMarch 22, 20233 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1114564929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WA · PA61122181
Also ListedPhysician AssistantTaxonomy 363A00000X · License 61122181 (WA)
700 LILLY RD NE, Olympia, WA 98506

Secondary Practice Locations 2

Location 13901 Capital Mall Dr SW Ste AOlympia, WA 98502-8654 · Phone (360) 491-8439 · Fax (360) 491-6328
Location 24311 11th Ave NE Ste 200Seattle, WA 98105-6367 · Phone (206) 616-4001 · Fax (206) 616-3889

Other Identifiers 1

Medicaid2174357WA

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

Mrs. Samantha Marie Millar Pa-c 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 ID6800204322
PECOS Enrollment IDI20210422002120
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.11
Promoting Interoperability100
Improvement Activities40
Cost86.5

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.

Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Dermatology
700 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Counselor (Mental Health)
700 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Internal Medicine (Hematology & Oncology)
700 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
700 LILLY RD NE
OLYMPIA, WA 98506
Obstetrics & Gynecology
700 LILLY RD NE
OLYMPIA, WA 98506

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 Millar's NPI number?

The NPI number for Samantha Millar is 1114564929. It was assigned to this individual provider in the NPPES registry on December 1, 2019.

Where is Samantha Millar located?

Samantha Millar practices at 700 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 923-7000.

What is Samantha Millar's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Samantha Millar enrolled in Medicare?

Yes. Samantha Millar 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.

When was this NPI record last updated?

The NPPES record for Samantha Millar was last updated on March 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.