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SAMANTHA MARIE NIZICH PA-C
NPI 1659244127
Physician Assistant in Boise, ID

Active since September 29, 2025PECOS EnrolledAccepts Medicare Assignment
300 E JEFFERSON ST, BOISE, ID 83712(208) 322-1680(208) 322-1695 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Marie Nizich Pa-c NPPES

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

SAMANTHA MARIE NIZICH PA-C (NPI 1659244127) is an individual physician assistant in Boise, Idaho, licensed in Idaho (5171784) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1659244127
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA MARIE NIZICHCredential: PA-C
Location Address300 E JEFFERSON STBoise, ID 83712-6246
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 322-1680
Fax(208) 322-1695
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 29, 2025
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1659244127 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 ID · 5171784
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.
300 E JEFFERSON ST, Boise, ID 83712
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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 and accepts Medicare assignment

Samantha Marie Nizich 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 ID5698268555
PECOS Enrollment IDI20251201001158
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.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

DR. CATHERINE M OLIPHANT PHARMD
Pharmacist (Pharmacotherapy)
300 E JEFFERSON ST, SUITE 201
BOISE, ID 83712
Ada County (208) 381-4146
EMILY BARNETT LMSW
Social Worker
300 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 388-7113
MARCOS DACCARETT MD
Internal Medicine (Clinical Cardiac Electrophysiology)
300 E JEFFERSON ST, STE 101
BOISE, ID 83712
Ada County (208) 336-4141
CHERISH L SMITH PA
Physician Assistant
300 E JEFFERSON ST, SUITE 300
BOISE, ID 83712
Ada County (208) 381-4100
JESSICA BRUCE
Nurse Practitioner
300 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-4100
KAREN EAST MD
Internal Medicine
300 E JEFFERSON ST, STE 300
BOISE, ID 83712
Ada County (208) 381-4100
ROGER THOMAS TURCOTTE JR. M.D.
Internal Medicine
300 E JEFFERSON ST, SUITE 201
BOISE, ID 83712
Ada County (208) 381-4100
AMY SCHELL MD
Internal Medicine
300 E JEFFERSON ST, STE 300
BOISE, ID 83712
Ada County (208) 381-4100

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 Nizich's NPI number?

The NPI number for Samantha Nizich is 1659244127. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Samantha Nizich located?

Samantha Nizich practices at 300 E Jefferson St, Boise, ID 83712. The listed phone number is (208) 322-1680.

What is Samantha Nizich's specialty?

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

Is Samantha Nizich enrolled in Medicare?

Yes. Samantha Nizich 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.

Is Samantha Nizich affiliated with any hospitals?

According to CMS data, Samantha Nizich is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Nizich was last updated on January 21, 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.