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SAMANTHA HERRIN PA-C
NPI 1245953967
Physician Assistant in Carbondale, IL

Active since September 20, 2022PECOS EnrolledAccepts Medicare Assignment
404 S LEWIS LN, CARBONDALE, IL 62901(618) 519-9200(618) 549-1288 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Sep 20, 2022 (2 updates tracked since 2022).

About Samantha Herrin Pa-c NPPES

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

SAMANTHA HERRIN PA-C (NPI 1245953967) is an individual physician assistant in Carbondale, Illinois, licensed in Illinois (085009226) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2022).

NPPES Registry Identity

NPI1245953967
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA HERRINCredential: PA-C
Location Address404 S LEWIS LNCarbondale, IL 62901-3547
Mailing AddressPo Box 577Carterville, IL 62918-0577 · (618) 519-9200 · Fax (618) 985-4635
Phone(618) 519-9200
Fax(618) 549-1288
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2022
Enumeration DateSeptember 20, 2022
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1245953967 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 IL · 085009226
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.
404 S LEWIS LN, Carbondale, IL 62901
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Other Names 1

Other Name (5)Samantha Stadts

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Herrin 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 ID4981080363
PECOS Enrollment IDI20221010000112
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 7

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

GERALD R CAMERON PA-C
Physician Assistant
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 319-4076
JESSICA N BAINE APRN
Nurse Practitioner (Family)
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
LINDA DODD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
BARBARA GEAN GREAR MSW
Counselor (Mental Health)
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
GERALD S MARTIN NP
Nurse Practitioner (Family)
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
PATRICIA A BOUDET PA
Physician Assistant
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Herrin's NPI number?

The NPI number for Samantha Herrin is 1245953967. It was assigned to this individual provider in the NPPES registry on September 20, 2022. The provider is also known as Samantha Stadts.

Where is Samantha Herrin located?

Samantha Herrin practices at 404 S Lewis Ln, Carbondale, IL 62901. The listed phone number is (618) 519-9200.

What is Samantha Herrin's specialty?

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

Is Samantha Herrin enrolled in Medicare?

Yes. Samantha Herrin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Herrin accept?

Health plans from UnitedHealthcare list Samantha Herrin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Herrin was last updated on January 12, 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.