Individual provider Active NPI

Michelle Sampson, PAC

  • Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1063519213
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050692 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(610) 954-4301
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA050692 PA Primary

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

623 E Broad St FL 2
Bethlehem, PA 18018-6332
Phone (610) 954-6048

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040505000512 PA Practitioner - Physician Assistant 1850387838 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Carbon-Schuylkill Community Hospital, Inc.Group PAC ID 4486562030, 41 clinicians

Practice addresses (Care Compare)

1097 B N Church St
Hazle Township, PA 18202-1465
Phone (484) 526-4000

120 Pine St
Tamaqua, PA 18252-1409
Phone (570) 645-1500

360 W Riddle St
Coaldale, PA 18218-1027
Phone (570) 645-8127

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Quakertown Hospital CurrentSince May 1, 2017 Accepting new patients
St. Luke'S Hosptial CurrentSince Mar 29, 2017 Accepting new patients
St. Luke'S Physician Group Inc. CurrentSince Aug 1, 2016 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Apr 1, 2017 Accepting new patients
GSL Hospital CurrentSince Jul 22, 2023 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Nov 20, 2017 Accepting new patients
St Luke'S Hospital CurrentSince Jan 27, 2004 Accepting new patients
St Luke Hospital CurrentSince Jan 27, 2004 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Nov 20, 2017 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince May 1, 2017 Accepting new patients
Carbon Schuylkill Community Hospital, Inc. CurrentSince Apr 1, 2017 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Mar 29, 2017 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 1, 2016 Accepting new patients
St. Luke'S Hospital Past Accepting new patients
St. Luke'S Hospital Physician Assistant Past Accepting new patients

Locations

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1063519213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 E BROAD ST FL 2",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186332",
            "telephone_number": "610-954-6048",
            "fax_number": "610-954-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-954-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "MICHELLE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.