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SAMANTHA TESS GOODRICH
NPI 1871114553
Physician Assistant in Boise, ID

Active since May 04, 2020PECOS Enrolled
3248 S CADET AVE, BOISE, ID 83706(208) 695-3021 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, May 4, 2020 (2 updates tracked since 2020).

About Samantha Tess Goodrich NPPES

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

SAMANTHA TESS GOODRICH (NPI 1871114553) is an individual physician assistant in Boise, Idaho and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871114553
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA TESS GOODRICH
Location Address3248 S CADET AVEBoise, ID 83706-5387
Mailing Address3248 S Cadet AveBoise, ID 83706-5387 · (208) 695-3021
Phone(208) 695-3021
Sole ProprietorNo
Enumeration DateMay 4, 2020
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1871114553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
3248 S CADET AVE, Boise, ID 83706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Tess Goodrich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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 Goodrich's NPI number?

The NPI number for Samantha Goodrich is 1871114553. It was assigned to this individual provider in the NPPES registry on May 4, 2020.

Where is Samantha Goodrich located?

Samantha Goodrich practices at 3248 S Cadet Ave, Boise, ID 83706. The listed phone number is (208) 695-3021.

What is Samantha Goodrich's specialty?

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

Is Samantha Goodrich enrolled in Medicare?

Yes. Samantha Goodrich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Goodrich was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.