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

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: July 26, 2026.

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 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
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

Other Names 1

Former Name (1)Samantha L Goeke Pa-c

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 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.

Areas of Expertise CMS Part B claims

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, 20-29 minutes 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.
18 services12 patients

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.

Dietitian, Registered
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Internal Medicine
W180N8000 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Registered Nurse (Diabetes Educator)
W180N8000 TOWN HALL RD, DIABETES AND NUTRITION EDUCATION SERVICES
MENOMONEE FALLS, WI 53051
Physician Assistant
W180N8000 TOWN HALL RD, NEPHROLOGY
MENOMONEE FALLS, WI 53051
Physician Assistant
W180N8000 TOWN HALL RD, TOWN HALL HEALTH CENTER
MENOMONEE FALLS, WI 53051
Urology
W180N8000 TOWN HALL RD, UROLOGY
MENOMONEE FALLS, WI 53051
Physician Assistant
W180N8000 TOWN HALL RD, RHEUMATOLOGY
MENOMONEE FALLS, WI 53051
Psychologist (Clinical)
W180N8000 TOWN HALL RD, DEPARTMENT OF PSYCHIATRY
MENOMONEE FALLS, WI 53051

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 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.

Where is Samantha Blackburn located?

Samantha Blackburn practices at W180n8000 Town Hall Rd, Menomonee Falls, WI 53051. The listed phone number is (262) 532-3600.

What is Samantha Blackburn's specialty?

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

Is Samantha Blackburn enrolled in Medicare?

Yes. Samantha Blackburn 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 Blackburn accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Samantha Blackburn 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.

When was this NPI record last updated?

The NPPES record for Samantha Blackburn was last updated on October 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.