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SAMANTHA MADISON MCGANNON PA
NPI 1306537790
Physician Assistant in Reno, NV

Active since May 16, 2023PECOS Enrolled
10201 DOUBLE R BLVD STE 315, RENO, NV 89521(775) 982-3443(775) 982-3441 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Feb 7, 2025, May 16, 2023 (3 updates tracked since 2023).

About Samantha Madison Mcgannon Pa NPPES

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

SAMANTHA MADISON MCGANNON PA (NPI 1306537790) is an individual physician assistant in Reno, Nevada, licensed in Nevada (PA3087) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Reno.

NPPES Registry Identity

NPI1306537790
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA MADISON MCGANNONCredential: PA
Location Address10201 DOUBLE R BLVD STE 315Reno, NV 89521-6091
Mailing Address1155 Mill St, Ms M-14Reno, NV 89502-1576 · (775) 982-5262 · Fax (775) 982-3441
Phone(775) 982-3443
Fax(775) 982-3441
Sole ProprietorNo
Enumeration DateMay 16, 2023
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1306537790 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 NV · PA3087
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.
10201 DOUBLE R BLVD STE 315, Reno, NV 89521
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Secondary Practice Location 1

Location 11155 Mill StReno, NV 89502-1576 · Phone (775) 982-7878 · Fax (775) 982-4196

Other Identifiers 2

Other16328317NV · Caqh
OtherPA3087NV · License

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 Madison Mcgannon Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89521 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

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 Mcgannon's NPI number?

The NPI number for Samantha Mcgannon is 1306537790. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Samantha Mcgannon located?

Samantha Mcgannon practices at 10201 Double R Blvd Ste 315, Reno, NV 89521. The listed phone number is (775) 982-3443.

What is Samantha Mcgannon's specialty?

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

Is Samantha Mcgannon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Mcgannon was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.