MRS. SAMANTHA NICHOLE LAYSTROM PA-C
NPI 1386228799
Physician Assistant in Skokie, IL

Q: What is Samantha Laystrom's NPI number?

The NPI number for Samantha Laystrom is 1386228799. It was assigned to this individual provider in the NPPES registry on May 11, 2021. The provider is also known as Ms. Samantha Nichole Rodriguez Pa-C.

Q: What is Samantha Laystrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Laystrom was last updated on March 11, 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.

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

9600 GROSS POINT RD, SKOKIE, IL 60076(847) 677-9600 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2023, Dec 21, 2021, May 24, 2021 and 1 more (4 updates tracked since 2021).

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About Mrs. Samantha Nichole Laystrom Pa-c NPPES

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

MRS. SAMANTHA NICHOLE LAYSTROM PA-C (NPI 1386228799) is an individual physician assistant in Skokie, Illinois, licensed in Illinois (085008351) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386228799

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. SAMANTHA NICHOLE LAYSTROMCredential: PA-C

Location Address9600 GROSS POINT RDSkokie, IL 60076-1214

Mailing Address1235 S White Oak Dr Apt 1635Waukegan, IL 60085-8358 · (478) 301-9958

Phone(847) 677-9600

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMay 11, 2021

Last NPPES UpdateMarch 11, 20244 updates tracked since enumeration

NPPES CertifiedMarch 11, 2024

✔ NPI 1386228799 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 IL · 085008351

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.

9600 GROSS POINT RD, Skokie, IL 60076

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Other Names 1

Former Name (1)Ms. Samantha Nichole Rodriguez Pa-c

Secondary Practice Locations 2

Location 1777 Park Ave WHighland Park, IL 60035-2433 · Phone (847) 675-3900 · Fax (847) 675-3930

Location 22650 Ridge AveEvanston, IL 60201-1700 · Phone (847) 570-2000

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 Nichole Laystrom 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 ID547659872

PECOS Enrollment IDI20211108001913

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

16 services15 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60076 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

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.

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