SAMANTHA SMITH PA-C
NPI 1346693314
Physician Assistant - Medical in Brooklyn, IA

Active since July 14, 2016PECOS Enrolled
128 JACKSON ST, BROOKLYN, IA 52211(641) 522-7221(641) 522-5816 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 14, 2016, Jul 14, 2016 (2 updates tracked since 2016).

About Samantha Smith Pa-c NPPES

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

SAMANTHA SMITH PA-C (NPI 1346693314) is an individual medical provider in Brooklyn, Iowa, licensed in Iowa (083680) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Grinnell Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1346693314
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSAMANTHA SMITHCredential: PA-C
Location Address128 JACKSON STBrooklyn, IA 52211-7711
Mailing Address128 Jackson St, Po Box 527Brooklyn, IA 52211-7711 · (641) 522-7221 · Fax (641) 522-5816
Fax(641) 522-5816
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 14, 2016
Last NPPES UpdateDecember 14, 20162 updates tracked since enumeration
NPI 1346693314 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 IA · 083680
128 JACKSON ST, Brooklyn, IA 52211

Accepted Insurance

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

PECOS PAC ID4385939388
PECOS Enrollment IDI20160829002666
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 14

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.
243 services125 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
160 services32 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
123 services96 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
71 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
51 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grinnell Regional Medical Center

Acute Care Hospitals · Grinnell, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160147
Location210 Fourth AvenueGrinnell, IA 50112 · Poweshiek County
Emergency services Birthing friendly

Compass Memorial Healthcare

Critical Access Hospitals · Marengo, IA
OwnershipGovernment - Local
CMS Certification Number161317
Location300 W May StMarengo, IA 52301 · Iowa County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers20 claims45 services$5.57 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$102.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
128 JACKSON ST
BROOKLYN, IA 52211
Clinic/Center (Rural Health)
128 JACKSON ST
BROOKLYN, IA 52211
Physician Assistant
128 JACKSON ST
BROOKLYN, IA 52211

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 Smith's NPI number?

The NPI number for Samantha Smith is 1346693314. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Samantha Smith located?

Samantha Smith practices at 128 Jackson St, Brooklyn, IA 52211. The listed phone number is (641) 522-7221.

What is Samantha Smith's specialty?

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

Is Samantha Smith enrolled in Medicare?

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

What insurance does Samantha Smith accept?

Health plans from Medica list Samantha Smith 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.

Is Samantha Smith affiliated with any hospitals?

According to CMS data, Samantha Smith is affiliated with Grinnell Regional Medical Center and Compass Memorial Healthcare.

When was this NPI record last updated?

The NPPES record for Samantha Smith was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.