SAMANTHA STUCKEY PA-C
NPI 1689198087
Physician Assistant in Chicago, IL

Q: What is Samantha Stuckey's NPI number?

The NPI number for Samantha Stuckey is 1689198087. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Q: What is Samantha Stuckey'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 Stuckey was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 28, 2017PECOS Enrolled

2265 N CLYBOURN AVE, CHICAGO, IL 60614(815) 262-0376 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2023, Jul 28, 2017 (2 updates tracked since 2017).

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About Samantha Stuckey Pa-c NPPES

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

SAMANTHA STUCKEY PA-C (NPI 1689198087) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085-006276) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1689198087

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA STUCKEYCredential: PA-C

Location Address2265 N CLYBOURN AVEChicago, IL 60614-3052

Mailing Address2265 N Clybourn AveChicago, IL 60614-3052 · (815) 262-0376

Phone(815) 262-0376

Sole ProprietorNo

Enumeration DateJuly 28, 2017

Last NPPES UpdateMay 8, 20232 updates tracked since enumeration

NPPES CertifiedMay 8, 2023

✔ NPI 1689198087 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 IL · 085-006276

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.

2265 N CLYBOURN AVE, Chicago, IL 60614

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Secondary Practice Location 1

Location 16140 N Broadway StChicago, IL 60660-2538 · Phone (773) 435-9028

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 Stuckey Pa-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 60614 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 7

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

ANDREA ROSE DELEON FNP-C

Nurse Practitioner (Family)