Individual provider Active NPI

Samantha Lynn Aksu, PA-C

  • Surgical Physician Assistant
  • Hershey, PA
National Provider Identifier
1356977102
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA060984 Issued in PA
Practice address
30 Hope Drive
Building B Suite 1200
Hershey, PA 17033-0850
Phone
(717) 531-3828
Fax
(717) 531-0793
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Surgical Associates, PA 303 clinicians
Abington Memorial Hospital 442 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461

1200 Old York Rd
Abington, PA 19001-3720

1200 Old York Rd 1 Widener
Neurosurgical Associates of Abington
Abington, PA 19001-3720
Phone (215) 657-5886

2 Cooper PLZ
Camden, NJ 08103-1461

2510 Maryland Rd
Suite 185
Willow Grove, PA 19090-1134
Phone (215) 657-5886

3 Cooper PLZ
Camden, NJ 08103-1438

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200528002676 PA Practitioner - Physician Assistant 0446671507 Reassigns benefits to 2 organizations
I20211215000005 NJ Practitioner - Physician Assistant 0446671507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA060984PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jun 1, 2020 Accepting new patients
Abington Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Nov 17, 2021 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group CurrentSince Jun 1, 2020 Accepting new patients
Abington Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients

Locations

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

30 Hope Dr
Bldg B
Hershey, PA 17033
Phone (717) 531-3828

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

2510 Maryland Rd
Ste 185
Willow Grove, PA 19090
Phone (215) 657-5886

Interoperability endpoints

  • Direct secure messaging: saksu118318@direct.cooperhealth.edu

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA060984 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

30 Hope Drive
Building B Suite 1200
Hershey, PA 17033-0850

Mailing address

PO Box 858 MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2020.

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1356977102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858 MC A410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455",
            "fax_number": "717-531-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DRIVE",
            "address_2": "BUILDING B SUITE 1200",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330850",
            "telephone_number": "717-531-3828",
            "fax_number": "717-531-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKSU",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA060984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.