MRS. SAMANTHA WILHELM MS, PA-C
NPI 1417370685
Physician Assistant in Marina Del Rey, CA

Active since January 23, 2014PECOS EnrolledAccepts Medicare Assignment
4560 ADMIRALTY WAY STE 105, MARINA DEL REY, CA 90292(310) 694-5255(310) 306-5555 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Samantha Wilhelm Ms, Pa-c NPPES

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

MRS. SAMANTHA WILHELM MS, PA-C (NPI 1417370685) is an individual physician assistant in Marina Del Rey, California and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417370685
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SAMANTHA WILHELMCredential: MS, PA-C
Location Address4560 ADMIRALTY WAY STE 105Marina Del Rey, CA 90292-5424
Mailing Address4560 Admiralty Way Ste 105Marina Del Rey, CA 90292-5424 · (310) 694-5255 · Fax (310) 306-5555
Fax(310) 306-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 23, 2014
Last NPPES UpdateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
NPI 1417370685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4560 ADMIRALTY WAY STE 105, Marina Del Rey, CA 90292

Other Names 1

Former Name (1)Samantha Easler Ms, Pa-c

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 Wilhelm Ms, 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 ID5991938540
PECOS Enrollment IDI20201022002983
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Obstetrics & Gynecology
4560 ADMIRALTY WAY STE 105
MARINA DEL REY, CA 90292
Obstetrics & Gynecology
4560 ADMIRALTY WAY STE 105
MARINA DEL REY, CA 90292

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 Wilhelm's NPI number?

The NPI number for Samantha Wilhelm is 1417370685. It was assigned to this individual provider in the NPPES registry on January 23, 2014. The provider is also known as Samantha Easler Ms, Pa-C.

Where is Samantha Wilhelm located?

Samantha Wilhelm practices at 4560 Admiralty Way Ste 105, Marina Del Rey, CA 90292. The listed phone number is (310) 694-5255.

What is Samantha Wilhelm's specialty?

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

Is Samantha Wilhelm enrolled in Medicare?

Yes. Samantha Wilhelm 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.

When was this NPI record last updated?

The NPPES record for Samantha Wilhelm was last updated on October 22, 2020. 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.