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SAMANTHA ANN NOONAN P.A.-C
NPI 1619119682
Physician Assistant in Jamaica Plain, MA

Active since April 06, 2009PECOS Enrolled
1153 CENTRE ST, JAMAICA PLAIN, MA 02130(617) 983-7202 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 18, 2021, Apr 19, 2018 (2 updates tracked since 2018).

About Samantha Ann Noonan P.a.-c NPPES

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

SAMANTHA ANN NOONAN P.A.-C (NPI 1619119682) is an individual physician assistant in Jamaica Plain, Massachusetts, licensed in California (PA52174) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619119682
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA ANN NOONANCredential: P.A.-C
Location Address1153 CENTRE STJamaica Plain, MA 02130-3446
Mailing Address577 Hammond St, # 2Chestnut Hill, MA 02467-1703 · (413) 374-4821
Phone(617) 983-7202
Sole ProprietorNo
Enumeration DateApril 6, 2009
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
✔ NPI 1619119682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA52174
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA2547 (MA)
1153 CENTRE ST, Jamaica Plain, MA 02130
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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 (PECOS)

Samantha Ann Noonan P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02130 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

MRS. MARY RAY MAZAKA LICSW
Social Worker (Clinical)
1153 CENTRE ST, 2ND FLOOR
BOSTON, MA 02130
Suffolk County (617) 983-7233
MRS. ELAINE ANN CHARBONNIER NP
Nurse Practitioner (Adult Health)
1153 CENTRE ST, FAULKNER HOSPITAL , DEPT OF PREADMISSION TESTING
BOSTON, MA 02130
Suffolk County (617) 933-4600
HYEJUNG KIM RPH
Pharmacist
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (851) 404-5397
FAINA NAKHLIS MD
Surgery (Surgical Oncology)
1153 CENTRE ST, FAULKNER BREAST CENTRE
BOSTON, MA 02130
Suffolk County (617) 983-7777
CATHERINE COQUINCO LLAMAS PA
Physician Assistant
1153 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-7132
DOLORES MARIE SULA PA-C
Physician Assistant
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (617) 983-7000
DR. STACI R EISENBERG MD
Internal Medicine
1153 CENTRE ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-7025
BRIGHAM AND WOMEN'S FAULKNER HOSPITAL, INC.
Psychiatric Unit
1153 CENTRE ST
BOSTON, MA 02130
Suffolk County (617) 983-7470

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 Noonan's NPI number?

The NPI number for Samantha Noonan is 1619119682. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Samantha Noonan located?

Samantha Noonan practices at 1153 Centre St, Jamaica Plain, MA 02130. The listed phone number is (617) 983-7202.

What is Samantha Noonan's specialty?

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

Is Samantha Noonan enrolled in Medicare?

Yes. Samantha Noonan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Noonan was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.