SAMANTHA AUDREY MCDOUGAL PA-C
NPI 1821656174
Physician Assistant - Medical in Carson City, NV

Q: What is Samantha Mcdougal's NPI number?

The NPI number for Samantha Mcdougal is 1821656174. It was assigned to this individual provider in the NPPES registry on June 2, 2019.

Q: What is Samantha Mcdougal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Mcdougal was last updated on December 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 02, 2019PECOS EnrolledAccepts Medicare Assignment

1475 MEDICAL PKWY, CARSON CITY, NV 89703(775) 883-3636(775) 882-2382 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2024, Mar 7, 2023, Feb 28, 2023 and 1 more (4 updates tracked since 2019).

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About Samantha Audrey Mcdougal Pa-c NPPES

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

SAMANTHA AUDREY MCDOUGAL PA-C (NPI 1821656174) is an individual medical provider in Carson City, Nevada, licensed in Nevada (PA2400) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Carson Tahoe Regional Medical Center, and is a graduate of University Of Nevada School Of Medicine (2020).

NPPES Registry Identity

NPI1821656174

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSAMANTHA AUDREY MCDOUGALCredential: PA-C

Location Address1475 MEDICAL PKWYCarson City, NV 89703-4635

Mailing Address1946 Old Hot Springs RdCarson City, NV 89706-0674 · (775) 882-1324

Phone(775) 883-3636

Fax(775) 882-2382

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2020

Enumeration DateJune 2, 2019

Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1821656174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NV · PA2400

Also ListedPhysician AssistantTaxonomy 363A00000X

1475 MEDICAL PKWY, Carson City, NV 89703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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 Audrey Mcdougal 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 ID648645705

PECOS Enrollment IDI20230404001188

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 4

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.

51 services38 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

19 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290019

Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County

Emergency services Birthing friendly

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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.

DANYELLE CHRISTINE MYERS M.D.

Obstetrics & Gynecology