SAMANTHA LYNN SIMLEY PA-C
NPI 1396294435
Physician Assistant in Fargo, ND

Active since September 30, 2016PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
1702 UNIVERSITY DR S, FARGO, ND 58103(701) 364-8900 Get Directions Write a Review

NPPES record last updated: September 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2025, Mar 1, 2022, Dec 3, 2021 and 2 more (5 updates tracked since 2016).

About Samantha Lynn Simley Pa-c NPPES

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

SAMANTHA LYNN SIMLEY PA-C (NPI 1396294435) is an individual physician assistant in Fargo, North Dakota, licensed in North Dakota (PAC0894) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396294435
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA LYNN SIMLEYCredential: PA-C
Location Address1702 UNIVERSITY DR SFargo, ND 58103-4940
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 30, 2016
Last NPPES UpdateSeptember 20, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2025
NPI 1396294435 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 ND · PAC0894
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.
1702 UNIVERSITY DR S, Fargo, ND 58103

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 Lynn Simley 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 ID4688962939
PECOS Enrollment IDI20220324001784
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.

Hospital Affiliations CMS Care Compare 2

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims

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

Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$34.91 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 20

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

Physical Medicine & Rehabilitation
1702 UNIVERSITY DR S
FARGO, ND 58103
Registered Nurse (Diabetes Educator)
1702 UNIVERSITY DR S
FARGO, ND 58103
Optometrist
1702 UNIVERSITY DR S
FARGO, ND 58103
Internal Medicine
1702 UNIVERSITY DR S
FARGO, ND 58103
Clinical Neuropsychologist
1702 UNIVERSITY DR S
FARGO, ND 58103
Dermatology
1702 UNIVERSITY DR S
FARGO, ND 58103
Speech-Language Pathologist
1702 UNIVERSITY DR S
FARGO, ND 58103
Pharmacist
1702 UNIVERSITY DR S
FARGO, ND 58103

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 Simley's NPI number?

The NPI number for Samantha Simley is 1396294435. It was assigned to this individual provider in the NPPES registry on September 30, 2016.

Where is Samantha Simley located?

Samantha Simley practices at 1702 University Dr S, Fargo, ND 58103. The listed phone number is (701) 364-8900.

What is Samantha Simley's specialty?

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

Is Samantha Simley enrolled in Medicare?

Yes. Samantha Simley 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 Simley accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Security Health Plan list Samantha Simley 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 Simley affiliated with any hospitals?

According to CMS data, Samantha Simley is affiliated with Sanford Medical Center Fargo and Essentia Health.

When was this NPI record last updated?

The NPPES record for Samantha Simley was last updated on September 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.