SAMANTHA GOEKE BLACKBURN PA-C
NPI 1942674353
Physician Assistant in Menomonee Falls, WI

Q: What is Samantha Blackburn's NPI number?

The NPI number for Samantha Blackburn is 1942674353. It was assigned to this individual provider in the NPPES registry on November 23, 2015. The provider is also known as Samantha L Goeke Pa-C.

Q: What is Samantha Blackburn's specialty?

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

Active since November 23, 2015PECOS EnrolledAccepts Medicare Assignment

W180N8000 TOWN HALL RD, MENOMONEE FALLS, WI 53051(262) 532-3600 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samantha Goeke Blackburn Pa-c NPPES

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

SAMANTHA GOEKE BLACKBURN PA-C (NPI 1942674353) is an individual physician assistant in Menomonee Falls, Wisconsin and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of University Of South Carolina School Of Medicine (2015).

NPPES Registry Identity

NPI1942674353

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA GOEKE BLACKBURNCredential: PA-C

Location AddressW180N8000 TOWN HALL RDMenomonee Falls, WI 53051-4002

Mailing AddressW180n8000 Town Hall RdMenomonee Falls, WI 53051-4002 · (262) 532-3600

Phone(262) 532-3600

Sole ProprietorYes

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2015

Enumeration DateNovember 23, 2015

Last NPPES UpdateOctober 6, 2017

✔ NPI 1942674353 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.

W180N8000 TOWN HALL RD, Menomonee Falls, WI 53051

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Other Names 1

Former Name (1)Samantha L Goeke Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network 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 Goeke Blackburn 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 ID5890097919

PECOS Enrollment IDI20160106002888

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.

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53051 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 20

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

DR. NEIL HYDE MD

Family Medicine