Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA WIERSEMA PA-C
NPI 1588545768
Physician Assistant in Fort Wayne, IN

Active since September 11, 2025PECOS Enrolled
5050 N CLINTON ST, FORT WAYNE, IN 46825(260) 484-8551 Get Directions Write a Review

NPPES record last updated: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Samantha Wiersema Pa-c NPPES

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

SAMANTHA WIERSEMA PA-C (NPI 1588545768) is an individual physician assistant in Fort Wayne, Indiana and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1588545768
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA WIERSEMACredential: PA-C
Location Address5050 N CLINTON STFort Wayne, IN 46825-5822
Mailing Address7000 Mercy RdOmaha, NE 68106-2606
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 11, 2025
Last NPPES UpdateNovember 6, 20262 updates tracked since enumeration
NPPES CertifiedNovember 6, 2026
✔ NPI 1588545768 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.
5050 N CLINTON ST, Fort Wayne, IN 46825

Other Names 1

Former Name (1)Samantha Sterbenz

Accepted 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 Wiersema 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 ID4284129487
PECOS Enrollment IDI20251224000721
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 46825 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Physician Assistant
5050 N CLINTON ST
FORT WAYNE, IN 46825
Orthopaedic Surgery
5050 N CLINTON ST
FORT WAYNE, IN 46825
Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Physical Therapist
5050 N CLINTON ST
FORT WAYNE, IN 46825
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FT WAYNE, IN 46825
Anesthesiology
5050 N CLINTON ST
FORT WAYNE, IN 46825
Nurse Practitioner
5050 N CLINTON ST
FORT WAYNE, IN 46825

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 Wiersema's NPI number?

The NPI number for Samantha Wiersema is 1588545768. It was assigned to this individual provider in the NPPES registry on September 11, 2025. The provider is also known as Samantha Sterbenz.

Where is Samantha Wiersema located?

Samantha Wiersema practices at 5050 N Clinton St, Fort Wayne, IN 46825. The listed phone number is (260) 484-8551.

What is Samantha Wiersema's specialty?

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

Is Samantha Wiersema enrolled in Medicare?

Yes. Samantha Wiersema 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 Wiersema accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Samantha Wiersema 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 Wiersema was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.