NPIMap

Individual provider Active NPI

Samantha Jo Pushchak, PA-C

  • Physician Assistant
  • Littleton, CO
National Provider Identifier
1043863285
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.5852 Issued in CO
Practice address
1000 Southpark Dr
Littleton, CO 80120-5654
Phone
(303) 744-1065
Fax
(303) 733-1699
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PA.0005852 CO
Geriatric Medicine (Internal Medicine) Physician 207RG0300X PA.0005852 CO
Physician Assistant 363A00000X PA.5852 CO Primary

Addresses

Primary practice location

1000 Southpark Dr
Littleton, CO 80120-5654

Mailing address

1000 Southpark Dr
Littleton, CO 80120-5654
Phone (303) 744-1065

Other practice location 1

799 E Hampden Ave Ste 315
Englewood, CO 80113-2762
Phone (303) 306-4321

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL PracticeFusion
Other URL AdvancedMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217004496 CO Practitioner - Physician Assistant 3971930710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

1000 Southpark Dr
Littleton, CO 80120-5654
Phone (303) 744-1065

2352 Meadows Blvd
Suite 115
Castle Rock, CO 80109-8407
Phone (303) 744-1065

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

9399 Crown Crest Blvd
Suite 200
Parker, CO 80138-8508
Phone (303) 744-1065

Hospital & facility affiliations

  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.5852COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 28, 2025 Accepting new patients
Summit Primary Care CurrentSince Sep 1, 2020 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Summit Primary Care PastSince May 1, 2020 Accepting new patients

Locations

2352 Meadows Blvd
Ste 115
Castle Rock, CO 80109

75 Printers Pkwy
Ste 200
Colorado Springs, CO 80910
Phone (719) 300-1122

850 E Harvard Ave
Ste 305
Denver, CO 80210
Phone (303) 778-5910

799 E Hampden Ave
Ste 315
Englewood, CO 80113
Phone (303) 219-8790

300 E Hampden Ave
Ste 201
Englewood, CO 80113
Phone (303) 991-7700

500 E Hampden Ave
Ste 204
Englewood, CO 80113
Phone (303) 778-6527

425 S Cherry St
Ste 410
Glendale, CO 80246
Phone (303) 333-3388

1000 Southpark Dr
Littleton, CO 80120
Phone (303) 715-2245

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9399 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 269-4410

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1043863285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SOUTHPARK DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205654",
            "telephone_number": "303-744-1065",
            "fax_number": "303-733-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SOUTHPARK DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205654",
            "telephone_number": "303-744-1065",
            "fax_number": "303-733-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 E Hampden Ave Ste 315",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132762",
            "country_code": "US",
            "telephone_number": "303-306-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUSHCHAK",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "PA.0005852",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "PA.0005852",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.5852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "address_1": "850 E Harvard Ave Ste 305",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802105076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AdvancedMD",
            "affiliation": "N",
            "address_1": "799 E Hampden Ave Ste 315",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801132762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.