SAMANTHA RYAN PETRUCELLI PA-C
NPI 1235612441
Physician Assistant in Greensboro, NC

Q: What is Samantha Petrucelli's NPI number?

The NPI number for Samantha Petrucelli is 1235612441. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Q: What is Samantha Petrucelli's specialty?

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

Active since September 13, 2018PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1200 N ELM ST, GREENSBORO, NC 27401(336) 207-7005 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2018, Sep 13, 2018 (2 updates tracked since 2018).

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About Samantha Ryan Petrucelli Pa-c NPPES

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

SAMANTHA RYAN PETRUCELLI PA-C (NPI 1235612441) is an individual physician assistant in Greensboro, North Carolina, licensed in North Carolina (0010-08427) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235612441

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA RYAN PETRUCELLICredential: PA-C

Location Address1200 N ELM STGreensboro, NC 27401-1004

Mailing Address410 W Smith St Apt 1bGreensboro, NC 27401-2296 · (610) 476-0624

Phone(336) 207-7005

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 13, 2018

Last NPPES UpdateSeptember 27, 20182 updates tracked since enumeration

✔ NPI 1235612441 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 NC · 0010-08427

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.

1200 N ELM ST, Greensboro, NC 27401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 Ryan Petrucelli 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 ID5395099600

PECOS Enrollment IDI20181126000877

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.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27401 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

CHRISTINA MARIA ALBERT MD

Family Medicine