Individual provider Active NPI

Samantha Marie Schaller, PA-C

  • Physician Assistant
  • Chesterfield, MI
National Provider Identifier
1265294904
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012267 Issued in MI
Practice address
28098 23 Mile Rd
Chesterfield, MI 48051-2316
Phone
(586) 949-0123
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 5601012267 MI Primary

Addresses

Primary practice location

28098 23 Mile Rd
Chesterfield, MI 48051-2316

Mailing address

8149 Orchardview Dr
Washington, MI 48095-1345
Phone (586) 718-6491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240227004223 MI Practitioner - Physician Assistant 8729423926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Systems IncGroup PAC ID 3870481740, 26 clinicians

Practice addresses (Care Compare)

43740 Garfield Rd
Clinton Township, MI 48038-1122
Phone (586) 228-0270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601012267MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Systems Inc CurrentSince Feb 21, 2024 Accepting new patients

Locations

28098 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 949-0123

43740 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-0270

30045 Harper Ave
Saint Clair Shores, MI 48082
Phone (586) 771-2006

Interoperability endpoints

  • Direct secure messaging: sschaller951833@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1265294904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8149 ORCHARDVIEW DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480951345",
            "telephone_number": "586-718-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28098 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512316",
            "telephone_number": "586-949-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLER",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.