SAMANTHA P GOELLER PA
NPI 1225861578
Physician Assistant in Appleton, WI

Q: What is Samantha Goeller's NPI number?

The NPI number for Samantha Goeller is 1225861578. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Q: What is Samantha Goeller'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 Samantha Goeller was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 August 22, 2024PECOS EnrolledAccepts Medicare Assignment

2400 E CAPITOL DR, APPLETON, WI 54911(920) 454-3300 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samantha P Goeller Pa NPPES

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

SAMANTHA P GOELLER PA (NPI 1225861578) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (8187) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225861578

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA P GOELLERCredential: PA

Location Address2400 E CAPITOL DRAppleton, WI 54911-8728

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 831-5050

Phone(920) 454-3300

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 22, 2024

Last NPPES UpdateOctober 28, 2024

NPPES CertifiedOctober 28, 2024

✔ NPI 1225861578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 8187

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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

2400 E CAPITOL DR, Appleton, WI 54911

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

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 P Goeller Pa 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 ID8628503372

PECOS Enrollment IDI20241119001356

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.

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

MRS. KRISTEN KAY LAMPE APNP

Nurse Practitioner