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SAMANTHA KAYE ETHRIDGE PA
NPI 1417355819
Physician Assistant in Waco, TX

Active since December 17, 2014PECOS EnrolledAccepts Medicare Assignment
1800 GURLEY LN, WACO, TX 76706(254) 313-6000(254) 313-6099 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Kaye Ethridge Pa NPPES

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

SAMANTHA KAYE ETHRIDGE PA (NPI 1417355819) is an individual physician assistant in Waco, Texas, licensed in Texas (PA09447) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of University Of Texas Medical Branch At Galveston (2014).

NPPES Registry Identity

NPI1417355819
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA KAYE ETHRIDGECredential: PA
Location Address1800 GURLEY LNWaco, TX 76706-4025
Mailing Address1600 Providence DrWaco, TX 76707-2261 · (254) 313-4200 · Fax (254) 313-4326
Phone(254) 313-6000
Fax(254) 313-6099
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2014
Enumeration DateDecember 17, 2014
Last NPPES UpdateNovember 3, 2016
✔ NPI 1417355819 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 TX · PA09447
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.
1800 GURLEY LN, Waco, TX 76706
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Other Names 1

Former Name (1)Samantha Kaye Gammel

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Kaye Ethridge Pa 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 ID4880911478
PECOS Enrollment IDI20180911002383
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 5

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
39 services20 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
26 services18 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
18 services14 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.
16 services15 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76706 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 2

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

HEART OF TEXAS COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1800 GURLEY LN
WACO, TX 76706
McLennan County (254) 313-6000
STEPHANIE PERKO SCHWARTZ DDS
Dentist (General Practice)
1800 GURLEY LN
WACO, TX 76706
McLennan County (254) 313-6100

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 Ethridge's NPI number?

The NPI number for Samantha Ethridge is 1417355819. It was assigned to this individual provider in the NPPES registry on December 17, 2014. The provider is also known as Samantha Kaye Gammel.

Where is Samantha Ethridge located?

Samantha Ethridge practices at 1800 Gurley Ln, Waco, TX 76706. The listed phone number is (254) 313-6000.

What is Samantha Ethridge's specialty?

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

Is Samantha Ethridge enrolled in Medicare?

Yes. Samantha Ethridge 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 Ethridge accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Samantha Ethridge 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 Ethridge affiliated with any hospitals?

According to CMS data, Samantha Ethridge is affiliated with Ascension Providence.

When was this NPI record last updated?

The NPPES record for Samantha Ethridge was last updated on November 3, 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.