Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

SAMANTHA WILSON PA-C
NPI 1124940127
Physician Assistant - Surgical in Wilkes Barre, PA

Active since July 29, 2026
575 N RIVER ST, WILKES BARRE, PA 18764(570) 829-8111 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Wilson Pa-c NPPES

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

SAMANTHA WILSON PA-C (NPI 1124940127) is an individual surgical provider in Wilkes Barre, Pennsylvania and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1124940127
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSAMANTHA WILSONCredential: PA-C
Location Address575 N RIVER STWilkes Barre, PA 18764-0999
Mailing Address575 N River StWilkes Barre, PA 18764-0999
Sole ProprietorNo
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1124940127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
575 N RIVER ST, Wilkes Barre, PA 18764

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.

Nurse Practitioner
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Practitioner (Family)
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Clinic/Center
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Emergency Medicine
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764

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 Wilson's NPI number?

The NPI number for Samantha Wilson is 1124940127. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Samantha Wilson located?

Samantha Wilson practices at 575 N River St, Wilkes Barre, PA 18764. The listed phone number is (570) 829-8111.

What is Samantha Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Samantha Wilson was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.