SAMANTHA JO POEHLING PA-C
NPI 1649097353
Physician Assistant in Plymouth, MN

Q: What is Samantha Poehling's NPI number?

The NPI number for Samantha Poehling is 1649097353. It was assigned to this individual provider in the NPPES registry on September 24, 2024. The provider is also known as Samantha Jo Gall.

Q: What is Samantha Poehling'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 Poehling was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 24, 2024PECOS EnrolledAccepts Medicare Assignment

2855 CAMPUS DR STE 400, PLYMOUTH, MN 55441(763) 577-7400 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2025, Oct 2, 2024, Sep 24, 2024 (3 updates tracked since 2024).

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About Samantha Jo Poehling Pa-c NPPES

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

SAMANTHA JO POEHLING PA-C (NPI 1649097353) is an individual physician assistant in Plymouth, Minnesota, licensed in Minnesota (14945) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649097353

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA JO POEHLINGCredential: PA-C

Location Address2855 CAMPUS DR STE 400Plymouth, MN 55441-2659

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(763) 577-7400

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 24, 2024

Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration

NPPES CertifiedMarch 13, 2025

✔ NPI 1649097353 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 MN · 14945

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.

2855 CAMPUS DR STE 400, Plymouth, MN 55441

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Other Names 1

Former Name (1)Samantha Jo Gall

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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 Jo Poehling 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 ID5991237901

PECOS Enrollment IDI20241016000224

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.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240038

Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County

Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 13

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

DR. PRAKHYA BHATNAGAR MD

Family Medicine