SAMANTHA PENNEPACKER PA-C
NPI 1366984775
Physician Assistant - Medical in Broomall, PA

Active since November 16, 2016PECOS EnrolledAccepts Medicare Assignment
92.09/100
CMS Quality Rating
2004 SPROUL RD, BROOMALL, PA 19008(610) 359-1580 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2024, May 3, 2024, Nov 16, 2016 (3 updates tracked since 2016).

About Samantha Pennepacker Pa-c NPPES

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

SAMANTHA PENNEPACKER PA-C (NPI 1366984775) is an individual medical provider in Broomall, Pennsylvania, licensed in Pennsylvania (MA058738) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366984775
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSAMANTHA PENNEPACKERCredential: PA-C
Location Address2004 SPROUL RDBroomall, PA 19008-3511
Mailing AddressPo Box 34990Belfast, ME 04915-0627 · (610) 359-5672
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 16, 2016
Last NPPES UpdateJune 4, 20243 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
NPI 1366984775 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 · MA058738
2004 SPROUL RD, Broomall, PA 19008

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 and accepts Medicare assignment

Samantha Pennepacker 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 ID1658652722
PECOS Enrollment IDI20170103001583
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 2

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.

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.
28 services28 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Promoting Interoperability99
Improvement Activities40
Cost87.88

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.

Orthopaedic Surgery
2004 SPROUL RD, 1ST FLOOR
BROOMALL, PA 19008
Orthopaedic Surgery
2004 SPROUL RD
BROOMALL, PA 19008
Physical Therapist
2004 SPROUL RD
BROOMALL, PA 19008
Dentist (General Practice)
2004 SPROUL RD, SUITE 204
BROOMALL, PA 19008
Physical Therapist
2004 SPROUL RD, SUITE 100
BROOMALL, PA 19008
Specialist/Technologist (Athletic Trainer)
2004 SPROUL RD
BROOMALL, PA 19008
Physician Assistant
2004 SPROUL RD
BROOMALL, PA 19008
Orthopaedic Surgery
2004 SPROUL RD
BROOMALL, PA 19008

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 Pennepacker's NPI number?

The NPI number for Samantha Pennepacker is 1366984775. It was assigned to this individual provider in the NPPES registry on November 16, 2016.

Where is Samantha Pennepacker located?

Samantha Pennepacker practices at 2004 Sproul Rd, Broomall, PA 19008. The listed phone number is (610) 359-1580.

What is Samantha Pennepacker's specialty?

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

Is Samantha Pennepacker enrolled in Medicare?

Yes. Samantha Pennepacker 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 Pennepacker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Samantha Pennepacker 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 Pennepacker affiliated with any hospitals?

According to CMS data, Samantha Pennepacker is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Samantha Pennepacker was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.