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SAMANTHA SHALLCROSS PHYSICIAN ASSISTANT
NPI 1447136072
Physician Assistant in Syracuse, NY

Active since August 11, 2025PECOS EnrolledAccepts Medicare Assignment
301 PROSPECT AVE, SYRACUSE, NY 13203(315) 448-5111 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Shallcross Physician Assistant NPPES

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

SAMANTHA SHALLCROSS PHYSICIAN ASSISTANT (NPI 1447136072) is an individual physician assistant in Syracuse, New York, licensed in New York (034442) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1447136072
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA SHALLCROSSCredential: PHYSICIAN ASSISTANT
Location Address301 PROSPECT AVESyracuse, NY 13203
Mailing Address301 Prospect AveSyracuse, NY 13203-1899 · (315) 448-5111 · Fax (315) 448-5111
Phone(315) 448-5111
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 11, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1447136072 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 NY · 034442
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.
301 PROSPECT AVE, Syracuse, NY 13203
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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 Shallcross Physician Assistant 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 ID9537659909
PECOS Enrollment IDI20251107000692
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 13203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

JOSHUA AUSTIN JOHNSON
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
TYLER GRANT RN
Nurse Anesthetist, Certified Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
MELISSA SCHREIBER RD
Dietitian, Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 726-7755
DR. JOAN E THORNTON MD
Anesthesiology
301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203
Onondaga County (315) 299-5451
DR. MIHAEL J PUC MD
Anesthesiology
301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203
Onondaga County (315) 448-5440
DAVID J. SEELEY M.D.
Emergency Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5101
PAMELA MARIE HOWARD LPN
Licensed Practical Nurse
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203
Onondaga County (315) 448-5111
SAMI SAMAIN MD
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203
Onondaga County (315) 448-5536

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 Shallcross's NPI number?

The NPI number for Samantha Shallcross is 1447136072. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Samantha Shallcross located?

Samantha Shallcross practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-5111.

What is Samantha Shallcross's specialty?

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

Is Samantha Shallcross enrolled in Medicare?

Yes. Samantha Shallcross 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 Shallcross was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.