Samantha Kelly Benner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA064318 Issued in PA

Practice address

1445 W Broad St
Quakertown, PA 18951-1109

Phone

(215) 538-2500

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Dermatology Center PCGroup PAC ID 7719111475, 3 clinicians

CDC Allentown PCGroup PAC ID 8224380183, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.5 of 100Reported as group

Quality

65

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

82.5 of 100Reported as group

Quality

65

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• CDC Allentown, P.C.

  • Dermatology Physician
  • Allentown, PA
  • NPI 1164909933
  Medicare reassignment Care Compare group
• Complete Dermatology Center, P.C.

  • Dermatology Physician
  • Quakertown, PA
  • NPI 1871853234
  Medicare reassignment Care Compare group
• CDC Bethlehem, P.C.

  • Dermatology Physician
  • Bethlehem, PA
  • NPI 1255153581
  NPD

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1053024992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511109",
            "telephone_number": "215-538-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511109",
            "telephone_number": "215-538-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5354 Hamilton Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181069775",
            "country_code": "US",
            "telephone_number": "484-221-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNER",
        "first_name": "SAMANTHA",
        "middle_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Belardo, CRNP
• Alissa L Belge, P.T.
• Belle Haven Associates
• Belle Haven Nursing and Rehabilitation LLC
• Benmed Inc.
• Susan S Benner, CRNP
• Ashley Bennett, MS CCC-SLP
• Elizabeth Renee Bennett, N.P.
• Phillip Bennett
• Csaba G Berces, M.D.

• Physician Assistant in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.