SAMANTHA ANNE MCCAIN
NPI 1477286201
Physician Assistant in Boise, ID

Q: What is Samantha Mccain's NPI number?

The NPI number for Samantha Mccain is 1477286201. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Q: What is Samantha Mccain's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Mccain was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since July 08, 2022PECOS EnrolledAccepts Medicare Assignment

6051 W EMERALD ST, BOISE, ID 83704(208) 302-5150(208) 302-5155 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Jul 8, 2022 (2 updates tracked since 2022).

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About Samantha Anne Mccain NPPES

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

SAMANTHA ANNE MCCAIN (NPI 1477286201) is an individual physician assistant in Boise, Idaho, licensed in Idaho (8761978) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Pocatello.

NPPES Registry Identity

NPI1477286201

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA ANNE MCCAIN

Location Address6051 W EMERALD STBoise, ID 83704-8969

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 302-9342 · Fax (208) 367-5180

Phone(208) 302-5150

Fax(208) 302-5155

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 8, 2022

Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1477286201 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 ID · 8761978

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.

6051 W EMERALD ST, Boise, ID 83704

Open in Google Maps ↗

Secondary Practice Location 1

Location 1921 S 8th Ave Stop 8253Pocatello, ID 83209-0002 · Phone (208) 282-4726

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 Anne Mccain 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 ID3072049311

PECOS Enrollment IDI20241210000712

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.

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

West Valley Medical Center

Acute Care Hospitals · Caldwell, ID

5/5 CMS rating

OwnershipProprietary

CMS Certification Number130014

Location1717 Arlington StreetCaldwell, ID 83605 · Canyon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

BETHANY KENDALL MAZE FNP

Nurse Practitioner (Family)