Individual provider Active NPI

Samantha Gambler, PA-C

  • Physician Assistant
  • Brodheadsville, PA
National Provider Identifier
1073914180
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057138 Issued in PA
Practice address
111 Route 715 Ste 102
Brodheadsville, PA 18322-7101
Phone
(272) 212-0420
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 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 MA057138 PA Primary

Addresses

Primary practice location

111 Route 715 Ste 102
Brodheadsville, PA 18322-7101

Mailing address

111 Route 715 Ste 102
Brodheadsville, PA 18322-7101
Phone (717) 471-9235

Other names 1

  • Samantha Navarro Other name

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
I20171005002425 PA Practitioner - Physician Assistant 4587950829 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Luke'S HospitalGroup PAC ID 0648189688, 100 clinicians

Practice addresses (Care Compare)

1104 N St
St Luke'S Care Now
Jim Thorpe, PA 18229-1717
Phone (570) 325-2400

111 Route 715
Brodheadsville, PA 18322-7101
Phone (272) 212-0420

153 Brodhead Rd
Bethlehem, PA 18017-8931
Phone (484) 526-3218

2003 Sullivan TRL
Easton, PA 18040-8339
Phone (484) 503-6470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057138PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hosptial CurrentSince Sep 30, 2024 Accepting new patients
St Luke'S Hospital CurrentSince Sep 30, 2024 Accepting new patients
GSL Hospital CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Hosptial CurrentSince Sep 30, 2024 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Sep 30, 2024 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Sep 30, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 11, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 11, 2017 Accepting new patients

Locations

111 Route 715
Ste 102
Brodheadsville, PA 18322
Phone (272) 212-0420

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

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

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

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

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

Interoperability endpoints

  • Direct secure messaging: sgambler335676@direct-sluhn.org

Organizations & group practices 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1073914180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ROUTE 715 STE 102",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227101",
            "telephone_number": "717-471-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ROUTE 715 STE 102",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227101",
            "telephone_number": "272-212-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLER",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "NAVARRO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brodheadsville, PA

Sources for this page

Verify at the official NPI Registry.