SAMANTHA LEE LYMAN PA-C
NPI 1407297971
Physician Assistant - Medical in Springfield, MA

Q: What is Samantha Lyman's NPI number?

The NPI number for Samantha Lyman is 1407297971. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Q: What is Samantha Lyman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Lyman was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 12, 2013PECOS Enrolled

300 STAFFORD ST STE 154, SPRINGFIELD, MA 01104(413) 748-7095(413) 733-5604 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2021, Nov 16, 2020, Feb 8, 2019 (3 updates tracked since 2019).

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About Samantha Lee Lyman Pa-c NPPES

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

SAMANTHA LEE LYMAN PA-C (NPI 1407297971) is an individual medical provider in Springfield, Massachusetts, licensed in Massachusetts (PA6554) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1407297971

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSAMANTHA LEE LYMANCredential: PA-C

Location Address300 STAFFORD ST STE 154Springfield, MA 01104-3583

Mailing Address300 Stafford St Ste 154Springfield, MA 01104-3583 · (413) 748-7095 · Fax (413) 733-5604

Phone(413) 748-7095

Fax(413) 733-5604

Sole ProprietorNo

Enumeration DateJuly 12, 2013

Last NPPES UpdateJune 28, 20213 updates tracked since enumeration

NPPES CertifiedJune 28, 2021

✔ NPI 1407297971 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

Licenses✔ Licensed in MA · PA6554✔ Licensed in CT · 002938

300 STAFFORD ST STE 154, Springfield, MA 01104

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Secondary Practice Location 1

Location 12 Medical Center Dr Ste 410Springfield, MA 01107-1273 · Phone (413) 748-7095 · Fax (413) 732-0225

Other Identifiers 1

Medicaid003029386CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Lee Lyman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

DAWN GRIMALDI FNP-BC

Nurse Practitioner

300 STAFFORD ST STE 154
SPRINGFIELD, MA 01104

Hampden County (413) 748-7095

MS. LISA A MAHEU PA-C

Physician Assistant (Medical)

300 STAFFORD ST STE 154
SPRINGFIELD, MA 01104

Hampden County (413) 748-7095

JOHN P MARENCO M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

300 STAFFORD ST STE 154
SPRINGFIELD, MA 01104

Hampden County (413) 748-7095

DR. NADAVALURU S REDDY MD

Internal Medicine (Clinical Cardiac Electrophysiology)

300 STAFFORD ST STE 154
SPRINGFIELD, MA 01104

Hampden County (413) 748-7095

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 Lyman's NPI number?

The NPI number for Samantha Lyman is 1407297971. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Where is Samantha Lyman located?

Samantha Lyman practices at 300 Stafford St Ste 154, Springfield, MA 01104. The listed phone number is (413) 748-7095.

What is Samantha Lyman's specialty?

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

Is Samantha Lyman enrolled in Medicare?

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

What insurance does Samantha Lyman accept?

Health plans from Anthem Blue Cross and Blue Shield list Samantha Lyman 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 Lyman was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.