SAMANTHA NICOLE NOGULA PA-C
NPI 1154087047
Physician Assistant in Hawthorne, NY

Active since November 15, 2021PECOS Enrolled
19 BRADHURST AVE, HAWTHORNE, NY 10532(845) 803-6336 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Nicole Nogula Pa-c NPPES

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

SAMANTHA NICOLE NOGULA PA-C (NPI 1154087047) is an individual physician assistant in Hawthorne, New York and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154087047
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA NICOLE NOGULACredential: PA-C
Location Address19 BRADHURST AVEHawthorne, NY 10532-2140
Mailing Address165 Wood StreetMahopac, NY 10541 · (845) 803-6336
Sole ProprietorYes
Enumeration DateNovember 15, 2021
NPPES CertifiedNovember 15, 2021
NPI 1154087047 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.
19 BRADHURST AVE, Hawthorne, NY 10532

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 Nicole Nogula 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 10532 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

Internal Medicine (Critical Care Medicine)
19 BRADHURST AVE, SUITE 3040N
HAWTHORNE, NY 10532
Internal Medicine (Rheumatology)
19 BRADHURST AVE, SUITE 3070N
HAWTHORNE, NY 10532
Nurse Practitioner (Primary Care)
19 BRADHURST AVE
HAWTHORNE, NY 10532
Internal Medicine (Nephrology)
19 BRADHURST AVE, SUITE 200N
HAWTHORNE, NY 10532
Internal Medicine (Medical Oncology)
19 BRADHURST AVE, SUITE 2100
HAWTHORNE, NY 10532
Internal Medicine (Cardiovascular Disease)
19 BRADHURST AVE, SUITE 700
HAWTHORNE, NY 10532
Pediatrics (Pediatric Infectious Diseases)
19 BRADHURST AVE, STE. 1400
HAWTHORNE, NY 10532
Internal Medicine (Clinical Cardiac Electrophysiology)
19 BRADHURST AVE, SUITE 3850S
HAWTHORNE, NY 10532

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 Nogula's NPI number?

The NPI number for Samantha Nogula is 1154087047. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Samantha Nogula located?

Samantha Nogula practices at 19 Bradhurst Ave, Hawthorne, NY 10532. The listed phone number is (845) 803-6336.

What is Samantha Nogula's specialty?

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

Is Samantha Nogula enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Nogula was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.