SAMANTHA ANN WINDOLOSKI PA-C
NPI 1174188262
Physician Assistant - Medical in Hartford, CT

Q: What is Samantha Windoloski's NPI number?

The NPI number for Samantha Windoloski is 1174188262. It was assigned to this individual provider in the NPPES registry on May 5, 2019.

Q: What is Samantha Windoloski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since May 05, 2019PECOS EnrolledAccepts Medicare Assignment

21 GRAND ST, HARTFORD, CT 06106(860) 550-7500 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2019, May 5, 2019 (2 updates tracked since 2019).

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About Samantha Ann Windoloski Pa-c NPPES

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

SAMANTHA ANN WINDOLOSKI PA-C (NPI 1174188262) is an individual medical provider in Hartford, Connecticut, licensed in Connecticut (4473) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wilbraham, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174188262

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSAMANTHA ANN WINDOLOSKICredential: PA-C

Location Address21 GRAND STHartford, CT 06106-1541

Mailing Address8 Spruce DrWilbraham, MA 01095-1783

Phone(860) 550-7500

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 5, 2019

Last NPPES UpdateJune 10, 20192 updates tracked since enumeration

✔ NPI 1174188262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CT · 4473

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

21 GRAND ST, Hartford, CT 06106

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Secondary Practice Location 1

Location 18 Spruce DrWilbraham, MA 01095-1783 · Phone (413) 214-1898

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

Samantha Ann Windoloski 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 ID7911231493

PECOS Enrollment IDI20190703001411

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers13 claims34 services$6.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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