MARY ELLYN SAMELS PA-C
NPI 1598583544
Physician Assistant in Indianapolis, IN

Q: What is Mary Samels's NPI number?

The NPI number for Mary Samels is 1598583544. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Q: What is Mary Samels'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 Mary Samels was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 September 30, 2024PECOS EnrolledAccepts Medicare Assignment

5230 E STOP 11 RD STE 150, INDIANAPOLIS, IN 46237(317) 865-5904(317) 865-5321 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Ellyn Samels Pa-c NPPES

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

MARY ELLYN SAMELS PA-C (NPI 1598583544) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10004528A) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Major Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1598583544

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY ELLYN SAMELSCredential: PA-C

Location Address5230 E STOP 11 RD STE 150Indianapolis, IN 46237-6399

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(317) 865-5904

Fax(317) 865-5321

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 30, 2024

NPPES CertifiedSeptember 30, 2024

✔ NPI 1598583544 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 IN · 10004528A

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.

5230 E STOP 11 RD STE 150, Indianapolis, IN 46237

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mary Ellyn Samels 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 ID6709317167

PECOS Enrollment IDI20241009002629

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 3

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

Major Hospital

Acute Care Hospitals · Shelbyville, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150097

Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County

Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150162

Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County

Emergency services Birthing friendly

Rush Memorial Hospital

Critical Access Hospitals · Rushville, IN

OwnershipGovernment - Local

CMS Certification Number151304

Location1300 N Main StRushville, IN 46173 · Rush County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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 14

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

JOANN E HENRY

Health Educator