SAMANTHA RENE EVANS PA
NPI 1225900889
Physician Assistant in Fort Worth, TX

Q: What is Samantha Evans's NPI number?

The NPI number for Samantha Evans is 1225900889. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Q: What is Samantha Evans'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 Evans was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 September 22, 2025PECOS EnrolledAccepts Medicare Assignment

1025 COLLEGE AVE, FORT WORTH, TX 76104(817) 810-9810(817) 810-9815 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Samantha Rene Evans Pa NPPES

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

SAMANTHA RENE EVANS PA (NPI 1225900889) is an individual physician assistant in Fort Worth, Texas and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1225900889

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA RENE EVANSCredential: PA

Location Address1025 COLLEGE AVEFort Worth, TX 76104-3013

Mailing Address1025 College AveFort Worth, TX 76104-3013 · (817) 810-9810 · Fax (817) 810-9815

Phone(817) 810-9810

Fax(817) 810-9815

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2025

Enumeration DateSeptember 22, 2025

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1225900889 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.

1025 COLLEGE AVE, Fort Worth, TX 76104

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Secondary Practice Location 1

Location 13410 Worth St Ste 780Dallas, TX 75246-2003 · Phone (214) 716-0662 · Fax (972) 791-8446

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 Rene Evans 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 ID8921588583

PECOS Enrollment IDI20260213001846

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.

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450137

Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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 10

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

LAKSHMI SAMBATHKUMAR MD

Internal Medicine