SAMUEL HARCOURT PA-S
NPI 1619772555
Physician Assistant - Surgical in Augusta, ME

Active since February 14, 2025PECOS EnrolledAccepts Medicare Assignment
15 ENTERPRISE DR STE 100, AUGUSTA, ME 04330(207) 621-8700 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2026, Feb 19, 2025, Feb 14, 2025 (3 updates tracked since 2025).

About Samuel Harcourt Pa-s NPPES

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

SAMUEL HARCOURT PA-S (NPI 1619772555) is an individual surgical provider in Augusta, Maine, licensed in Maine (PA2976) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2025).

NPPES Registry Identity

NPI1619772555
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSAMUEL HARCOURTCredential: PA-S
Location Address15 ENTERPRISE DR STE 100Augusta, ME 04330-7998
Mailing Address16 Forest AveCumberland, ME 04021-3008 · (512) 748-6052
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2025
Enumeration DateFebruary 14, 2025
Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1619772555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in ME · PA2976
15 ENTERPRISE DR STE 100, Augusta, ME 04330

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

Samuel Harcourt Pa-s 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 ID9133600943
PECOS Enrollment IDI20260219003283
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.

Other Providers at the Same Location NPPES 5

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

Occupational Therapist
15 ENTERPRISE DR STE 100
AUGUSTA, ME 04330
Physical Therapist
15 ENTERPRISE DR STE 100
AUGUSTA, ME 04330
Physician Assistant
15 ENTERPRISE DR STE 100
AUGUSTA, ME 04330
Nurse Practitioner (Acute Care)
15 ENTERPRISE DR STE 100
AUGUSTA, ME 04330
Nurse Practitioner (Acute Care)
15 ENTERPRISE DR STE 100
AUGUSTA, ME 04330

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 Samuel Harcourt's NPI number?

The NPI number for Samuel Harcourt is 1619772555. It was assigned to this individual provider in the NPPES registry on February 14, 2025.

Where is Samuel Harcourt located?

Samuel Harcourt practices at 15 Enterprise Dr Ste 100, Augusta, ME 04330. The listed phone number is (207) 621-8700.

What is Samuel Harcourt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Samuel Harcourt enrolled in Medicare?

Yes. Samuel Harcourt 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 Samuel Harcourt was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.