Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA ANNE KOSKI PA
NPI 1790595197
Pediatrics in Henderson, NV

Active since January 09, 2025
475 E. BRUNER AVE, STE 130, HENDERSON, NV 89044(702) 763-2263(702) 723-3765 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Jan 9, 2025 (2 updates tracked since 2025).

About Samantha Anne Koski Pa NPPES

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

SAMANTHA ANNE KOSKI PA (NPI 1790595197) is an individual pediatrics provider in Henderson, Nevada, licensed in Nevada (PA0794) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1790595197
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAMANTHA ANNE KOSKICredential: PA
Location Address475 E. BRUNER AVE, STE 130Henderson, NV 89044
Mailing Address475 E. Bruner Ave, Ste 130Henderson, NV 89044 · (702) 763-2263 · Fax (702) 723-3765
Fax(702) 723-3765
Sole ProprietorNo
Enumeration DateJanuary 9, 2025
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
NPI 1790595197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NV · PA0794
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
475 E. BRUNER AVE, Henderson, NV 89044

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Pediatrics
475 E. BRUNER AVE, STE 130
HENDERSON, NV 89044
Nurse Practitioner (Pediatrics)
475 E. BRUNER AVE, STE 130
HENDERSON, NV 89044

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 Koski's NPI number?

The NPI number for Samantha Koski is 1790595197. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Samantha Koski located?

Samantha Koski practices at 475 E. Bruner Ave Ste 130, Henderson, NV 89044. The listed phone number is (702) 763-2263.

What is Samantha Koski's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Samantha Koski accept?

Health plans from Ambetter from Arizona Complete Health list Samantha Koski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Koski was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.