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MRS. SAMANTHA YATES NUCKOLS PA-C
NPI 1316353121
Physician Assistant in Creve Coeur, MO

Active since July 02, 2014PECOS EnrolledAccepts Medicare Assignment
11445 OLIVE BLVD, CREVE COEUR, MO 63141(314) 428-9543(314) 428-9542 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Samantha Yates Nuckols Pa-c NPPES

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

MRS. SAMANTHA YATES NUCKOLS PA-C (NPI 1316353121) is an individual physician assistant in Creve Coeur, Missouri, licensed in Missouri (2017044296) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2014).

NPPES Registry Identity

NPI1316353121
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SAMANTHA YATES NUCKOLSCredential: PA-C
Location Address11445 OLIVE BLVDCreve Coeur, MO 63141-7108
Mailing Address115 Jameson WaySeven Fields, PA 16046-4325 · (757) 406-9172
Phone(314) 428-9543
Fax(314) 428-9542
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2014
Enumeration DateJuly 2, 2014
Last NPPES UpdateSeptember 24, 2019
✔ NPI 1316353121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MO · 2017044296✔ Licensed in VA · 0110-004588
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.
11445 OLIVE BLVD, Creve Coeur, MO 63141
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Other Names 1

Former Name (1)Mrs. Samantha Paige Yates

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Mrs. Samantha Yates Nuckols 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 ID2860611019
PECOS Enrollment IDI20191003002315
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
234 services210 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
108 services102 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
100 services100 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
47 services42 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
44 services43 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
35 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

AMANDA MICHELLE BALDWIN FNP
Nurse Practitioner (Family)
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543
KEMIN CHEN PA
Physician Assistant
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543
MS. GERALDINE PROPHETE PA
Physician Assistant
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543
DR. ERIC H MAI MD
Family Medicine
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543
MR. LUKE ANDREW SHOULDERS PA-C
Physician Assistant
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543
NELSON G USRY MD
Family Medicine
11445 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 428-9543
SCOTT SIMMONS MD
Family Medicine
11445 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 428-9543

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 Nuckols's NPI number?

The NPI number for Samantha Nuckols is 1316353121. It was assigned to this individual provider in the NPPES registry on July 2, 2014. The provider is also known as Mrs. Samantha Paige Yates.

Where is Samantha Nuckols located?

Samantha Nuckols practices at 11445 Olive Blvd, Creve Coeur, MO 63141. The listed phone number is (314) 428-9543.

What is Samantha Nuckols's specialty?

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

Is Samantha Nuckols enrolled in Medicare?

Yes. Samantha Nuckols 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 Nuckols accept?

Health plans from Medica list Samantha Nuckols 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 Nuckols was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.