SAMANTHA MEYER
NPI 1780320606
Physician Assistant in Kenosha, WI

Active since May 12, 2022PECOS EnrolledAccepts Medicare Assignment
10400 75TH ST, KENOSHA, WI 53142(262) 948-5600 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 16, 2025, Dec 18, 2024, May 12, 2022 (3 updates tracked since 2022).

About Samantha Meyer NPPES

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

SAMANTHA MEYER (NPI 1780320606) is an individual physician assistant in Kenosha, Wisconsin, licensed in Wisconsin (7187-23) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and maintains a secondary practice location in Middleton.

NPPES Registry Identity

NPI1780320606
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA MEYER
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 12, 2022
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1780320606 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 WI · 7187-23
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.

10400 75TH ST, Kenosha, WI 53142

Secondary Practice Location 1

Location 18430 Market St Apt 401Middleton, WI 53562-4782 · Phone (715) 563-6342

Other Identifiers 1

Medicaid100227851WI

Accepted 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 Meyer 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 ID7012381213
PECOS Enrollment IDI20230329000988
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
45 services45 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Emergency Medicine
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Social Worker (Clinical)
10400 75TH ST, #307
KENOSHA, WI 53142
Nurse Practitioner
10400 75TH ST
KENOSHA, WI 53142
Physical Therapist
10400 75TH ST
KENOSHA, WI 53142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780320606, enumerated as an "individual" on May 12, 2022.

The provider is located at 10400 75TH ST KENOSHA, WI 53142 and the phone number is (262) 948-5600.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare), Medicare. Please consult your insurance carrier or call the provider to verify.

Samantha Meyer is affiliated with: AURORA MEDICAL CENTER KENOSHA.