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SAMANTHA N. DAVIS PA
NPI 1801231931
Physician Assistant in Indianapolis, IN

Active since May 02, 2013PECOS EnrolledAccepts Medicare Assignment
7979 N SHADELAND AVE, SUITE 310, INDIANAPOLIS, IN 46250(317) 621-3780(317) 621-3088 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2020, Oct 23, 2017 (2 updates tracked since 2017).

About Samantha N. Davis Pa NPPES

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

SAMANTHA N. DAVIS PA (NPI 1801231931) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10001495A) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Community Hospital North, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1801231931
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA N. DAVISCredential: PA
Location Address7979 N SHADELAND AVE, SUITE 310Indianapolis, IN 46250-2042
Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805
Phone(317) 621-3780
Fax(317) 621-3088
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 2, 2013
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1801231931 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 IN · 10001495A
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.
7979 N SHADELAND AVE, Indianapolis, IN 46250
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Other Identifiers 3

Other201184040IN · Opr
Medicaid300007171IN
OtherP01261825IN · Medicare Rr Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 N. Davis Pa 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 ID840437943
PECOS Enrollment IDI20130509000157
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients
Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46250 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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. KATHERINE ANN KUNKEL PHARMD
Pharmacist (Ambulatory Care)
7979 N SHADELAND AVE
INDIANAPOLIS, IN 46250
Marion County (317) 621-3801
PABLO M BEDANO MD
Internal Medicine (Medical Oncology)
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300
RADHIKA V WALLING M.D.
Internal Medicine (Medical Oncology)
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300
LINDSEY M ADDINGTON NP
Nurse Practitioner (Gerontology)
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300
BILAL K SIDDIQUI MD
Internal Medicine (Hematology & Oncology)
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300
MRS. EMILY CLAIRE BURT CASE NP
Nurse Practitioner (Gerontology)
7979 N SHADELAND AVE
INDIANAPOLIS, IN 46250
Marion County (317) 621-4333
KRISTI K ORBAUGH NP
Nurse Practitioner
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300
MRS. JENNA R PULFER NP
Nurse Practitioner (Family)
7979 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46250
Marion County (317) 621-4300

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 Davis's NPI number?

The NPI number for Samantha Davis is 1801231931. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Samantha Davis located?

Samantha Davis practices at 7979 N Shadeland Ave Suite 310, Indianapolis, IN 46250. The listed phone number is (317) 621-3780.

What is Samantha Davis's specialty?

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

Is Samantha Davis enrolled in Medicare?

Yes. Samantha Davis 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.

What insurance does Samantha Davis accept?

Health plans from CareSource list Samantha Davis 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.

Is Samantha Davis affiliated with any hospitals?

According to CMS data, Samantha Davis is affiliated with Community Hospital North.

When was this NPI record last updated?

The NPPES record for Samantha Davis was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.