Individual provider Active NPI

Samantha Debone, PA-C

  • Physician Assistant
  • Coraopolis, PA
National Provider Identifier
1356576987
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056267 Issued in PA
Practice address
500 Cherrington Pkwy Ste 410
Coraopolis, PA 15108-4749
Phone
(412) 262-1064
Fax
(412) 262-3904
NPI assigned
May 27, 2009
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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 MA056267 PA Primary
Physician Assistant 363A00000X OA003095 PA

Addresses

Primary practice location

500 Cherrington Pkwy Ste 410
Coraopolis, PA 15108-4749

Mailing address

500 Cherrington Pkwy Ste 410
Coraopolis, PA 15108-4749
Phone (412) 262-1064

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
I20140204000964 PA Practitioner - Physician Assistant 0547499089

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.1 of 100Reported as group
Quality
78.2
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA003095PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Western Pennsylvania Inc. CurrentSince Aug 4, 2026 Accepting new patients
Dermatology Associates of Western Pennsylvania Inc. CurrentSince Aug 4, 2026 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

500 Cherrington Pkwy
Ste 410
Coraopolis, PA 15108
Phone (412) 262-1064

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1356576987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHERRINGTON PKWY STE 410",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084749",
            "telephone_number": "412-262-1064",
            "fax_number": "412-262-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHERRINGTON PKWY STE 410",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084749",
            "telephone_number": "412-262-1064",
            "fax_number": "412-262-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBONE",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056267",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

Verify at the official NPI Registry.