Samantha Erin Clem, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61146565 Issued in WA

Practice address

2015 116TH Ave NE
Bellevue, WA 98004-3018

Phone

(877) 445-6828

Fax

(424) 253-0814

NPI assigned

Nov 13, 2014

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 WA

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, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sclem2231936@wm.providencedirect.org

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.

• Providence Health & Services- Washington

  dba PMG NW Wa

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715
  Medicare reassignment NPD
• Providence Health & Services - Washington

  dba PMG NW WA Marysville Clinic

  • Family Medicine Physician
  • Marysville, WA
  • NPI 1063663458
  NPD
• Providence Health & Services - Washington

  dba PMG NW WA MC Walk In Clinic

  • General Practice Physician
  • Everett, WA
  • NPI 1013169507
  NPD (past)

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

• Providence Health & Services-Wa

  dba Providence Regional Medical Center Everett

  • Hospitalist Physician
  • Everett, WA
  • NPI 1649615220
  Care Compare affiliation
• Providence Health & Services-Wa

  • General Acute Care Hospital
  • Everett, WA
  • NPI 1700037801
  Care Compare affiliation

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1063818334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 CLAY ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151932",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043018",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9834 Genesee Ave Ste 411",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371264",
            "country_code": "US",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Hayes St Ste 612",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941171078",
            "country_code": "US",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9025 Wilshire Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111825",
            "country_code": "US",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16300 Sand Canyon Ave Ste 614",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183706",
            "country_code": "US",
            "telephone_number": "877-445-6828",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEM",
        "first_name": "SAMANTHA",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA67280",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61146565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Clavel
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• Charles J Clayton, OD
• Clear Mind Clinic PLLC
• Patricia Denise Cleavinger, DDS
• Amrita Clements, MFTA
• Grant Marshall Cleveland, PHARMD
• Kim M Clifford
• Clive M Liu MD PLLC
• Angela Theresa Close, PT

• Physician Assistant in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.