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SAMANTHA B SHAFFER PA-C
NPI 1255347829
Physician Assistant - Medical in Johnstown, PA

Active since August 01, 2006PECOS Enrolled
1322 EISENHOWER BLVD, JOHNSTOWN, PA 15904(814) 536-8969(814) 536-7180 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha B Shaffer Pa-c NPPES

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

SAMANTHA B SHAFFER PA-C (NPI 1255347829) is an individual medical provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MA052580) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255347829
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSAMANTHA B SHAFFERCredential: PA-C
Location Address1322 EISENHOWER BLVDJohnstown, PA 15904-3307
Mailing Address1322 Eisenhower BlvdJohnstown, PA 15904-3307 · (814) 536-8969 · Fax (814) 536-8969
Phone(814) 536-8969
Fax(814) 536-7180
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 24, 2011
✔ NPI 1255347829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA052580
1322 EISENHOWER BLVD, Johnstown, PA 15904
Open in Google Maps ↗

Other Identifiers 1

Medicaid1007708200001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha B Shaffer Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

NIKOLE VICTORIA MADISON CRNP
Nurse Practitioner (Family)
1322 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 266-8840
DR. VENKATA R DHARBHAMULLA MD
Pediatrics
1322 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 536-8969
JOSIE F HELSEL PA-C
Physician Assistant
1322 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 266-8840
KRISTEN THOMPSON PA-C
Physician Assistant
1322 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 266-8840
MRS. JESSICA JEAN UZELAC CRNP
Nurse Practitioner (Family)
1322 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 266-8840
SARAH J KOPNICKY PA-C
Physician Assistant (Medical)
1322 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 266-8840
PEDIATRIC CARE SPECIALISTS
Psychologist
1322 EISENHOWER BLVD, PEDIATRIC CARE SPECIALISTS
JOHNSTOWN, PA 15904
Cambria County (814) 266-8840
KAYLA WERTZ PA-C
Physician Assistant (Medical)
1322 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 266-8840

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 Shaffer's NPI number?

The NPI number for Samantha Shaffer is 1255347829. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Samantha Shaffer located?

Samantha Shaffer practices at 1322 Eisenhower Blvd, Johnstown, PA 15904. The listed phone number is (814) 536-8969.

What is Samantha Shaffer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samantha Shaffer enrolled in Medicare?

Yes. Samantha Shaffer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Shaffer was last updated on August 24, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.