SAMANTHA DIANE STEWART PA
NPI 1861972440
Physician Assistant in Grand Rapids, MI

Active since August 14, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
221 MICHIGAN ST NE STE 300, GRAND RAPIDS, MI 49503(616) 459-7258(616) 459-5215 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2022, Feb 17, 2021, Aug 3, 2020 and 1 more (4 updates tracked since 2018).

About Samantha Diane Stewart Pa NPPES

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

SAMANTHA DIANE STEWART PA (NPI 1861972440) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601009890) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1861972440
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA DIANE STEWARTCredential: PA
Location Address221 MICHIGAN ST NE STE 300Grand Rapids, MI 49503-2537
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Fax(616) 459-5215
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 14, 2018
Last NPPES UpdateMarch 9, 20224 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
NPI 1861972440 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 MI · 5601009890
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.
221 MICHIGAN ST NE STE 300, Grand Rapids, MI 49503

Other Names 1

Former Name (1)Samantha Diane Jensen Pa

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 Diane Stewart 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 ID8527318815
PECOS Enrollment IDI20200615001349
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.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Surgical)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Physician Assistant (Surgical)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Nurse Practitioner
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503

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 Stewart's NPI number?

The NPI number for Samantha Stewart is 1861972440. It was assigned to this individual provider in the NPPES registry on August 14, 2018. The provider is also known as Samantha Diane Jensen PA.

Where is Samantha Stewart located?

Samantha Stewart practices at 221 Michigan St NE Ste 300, Grand Rapids, MI 49503. The listed phone number is (616) 459-7258.

What is Samantha Stewart's specialty?

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

Is Samantha Stewart enrolled in Medicare?

Yes. Samantha Stewart 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 Stewart accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Samantha Stewart 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 Stewart affiliated with any hospitals?

According to CMS data, Samantha Stewart is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Samantha Stewart was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.