SAMANTHA KAYE SPATA PA-C - NPI 1811623218 - Physician Assistant in Madison, WI

Q: What is Samantha Spata's NPI number?

The NPI number for Samantha Spata is 1811623218. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Q: What is Samantha Spata'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 Spata was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Samantha Kaye Spata Pa-c NPPES

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

SAMANTHA KAYE SPATA PA-C (NPI 1811623218) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (8918-23) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Liberty Dayton Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811623218

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA KAYE SPATACredential: PA-C

Location Address345 W WASHINGTON AVE STE 100Madison, WI 53703-2996

Mailing Address345 W Washington Ave Ste 100Madison, WI 53703-2996

Phone(608) 417-8300

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 27, 2022

Last NPPES UpdateJune 3, 20263 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1811623218 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 · 8918-23

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.

345 W WASHINGTON AVE STE 100, Madison, WI 53703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Kaye Spata 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 ID1153779442

PECOS Enrollment IDI20231127003459

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

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

Liberty Dayton Regional Medical Center

Critical Access Hospitals · Liberty, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451375

Location1353 N Travis StLiberty, TX 77575 · Liberty County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53703 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 6

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

DR. EARTHA ZOE TAYLOR DO

Family Medicine