SAMUEL COLE KITZMAN PA-C
NPI 1194680140
Physician Assistant in Cedar Rapids, IA

Q: What is Samuel Kitzman's NPI number?

The NPI number for Samuel Kitzman is 1194680140. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Q: What is Samuel Kitzman'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 Samuel Kitzman was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 December 22, 2025PECOS EnrolledAccepts Medicare Assignment

2815 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404(319) 396-9097 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samuel Cole Kitzman Pa-c NPPES

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

SAMUEL COLE KITZMAN PA-C (NPI 1194680140) is an individual physician assistant in Cedar Rapids, Iowa, licensed in Iowa (136503) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194680140

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSAMUEL COLE KITZMANCredential: PA-C

Location Address2815 EDGEWOOD RD SWCedar Rapids, IA 52404-3258

Mailing Address130 Jefferson St Apt 8North Liberty, IA 52317-9056

Phone(319) 396-9097

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 22, 2025

Last NPPES UpdateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1194680140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IA · 136503

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.

2815 EDGEWOOD RD SW, Cedar Rapids, IA 52404

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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

Samuel Cole Kitzman 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 ID2769958412

PECOS Enrollment IDI20260420002214

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160079

Location701 10th Street SECedar Rapids, IA 52403 · Linn County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52404 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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 9

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

KRISTEN BARNETTE MD

Family Medicine