Individual provider Active NPI

Samantha Paige Farris, PA-C

  • Medical Physician Assistant
  • Cedar Rapids, IA
National Provider Identifier
1346673100
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002419 Issued in IA
Practice address
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone
(319) 369-7211
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1964 MN
Medical Physician Assistant 363AM0700X 002419 IA Primary

Addresses

Primary practice location

1026 A Ave NE
Cedar Rapids, IA 52402-5036

Mailing address

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

Other identifiers 1

IdentifierTypeStateIssuer
1110372OtherNCCPA

Other names 1

  • Ms. Samantha Paige Ford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20140923001934 IA Practitioner - Physician Assistant 2961636477 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1964MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
People'S Memorial Hospital CurrentSince Jun 1, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince Jan 20, 2020 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 20, 2020 Accepting new patients
People'S Memorial Hospital CurrentSince Jun 1, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
People'S Memorial Hospital Physician Assistant Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

3301 Armar Dr
Marion, IA 52302
Phone (319) 451-2700

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

Interoperability endpoints

  • Direct secure messaging: sford206736@direct.unitypoint.org

Organizations & group practices 10

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1346673100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "SAMANTHA",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "1964",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "002419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1110372",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "FORD",
            "middle_name": "PAIGE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.