Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA TULLY
NPI 1265399406
Physician Assistant in Milwaukee, WI

Active since January 08, 2026
900 N 92ND ST, MILWAUKEE, WI 53226(414) 805-3000 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, Jan 8, 2026 (2 updates tracked since 2026).

About Samantha Tully NPPES

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

SAMANTHA TULLY (NPI 1265399406) is an individual physician assistant in Milwaukee, Wisconsin and active in the NPI registry since January 2026. She maintains a secondary practice location in Waukesha.

NPPES Registry Identity

NPI1265399406
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA TULLY
Location Address900 N 92ND STMilwaukee, WI 53226-1202
Mailing Address2140 Davidson RdWaukesha, WI 53186-4008
Sole ProprietorNo
Enumeration DateJanuary 8, 2026
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1265399406 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.
900 N 92ND ST, Milwaukee, WI 53226

Secondary Practice Location 1

Location 12140 Davidson RdWaukesha, WI 53186-4008 · Phone (262) 951-3253

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.

Clinical Nurse Specialist
900 N 92ND ST
MILWAUKEE, WI 53226
Pharmacist
900 N 92ND ST
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
900 N 92ND ST
MILWAUKEE, WI 53226
Occupational Therapist (Physical Rehabilitation)
900 N 92ND ST
WAUWATOSA, WI 53226
Pharmacist (Emergency Medicine)
900 N 92ND ST
MILWAUKEE, WI 53226
Pharmacist
900 N 92ND ST
MILWAUKEE, WI 53226
Pharmacist
900 N 92ND ST
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
900 N 92ND ST
MILWAUKEE, WI 53226

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 Tully's NPI number?

The NPI number for Samantha Tully is 1265399406. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Samantha Tully located?

Samantha Tully practices at 900 N 92nd St, Milwaukee, WI 53226. The listed phone number is (414) 805-3000.

What is Samantha Tully's specialty?

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

When was this NPI record last updated?

The NPPES record for Samantha Tully was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.