Samantha S Baumann, PA-C
Individual provider Active NPI Physician Assistant · St George, UT
NPI 1386226348 · NPPES record last updated Aug 29, 2023
Key facts
- NPI
- 1386226348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 13563201-1206 (UT)
- Practice address
- 617 E Riverside Dr Ste 201
St George, UT 84790-8721 - Phone
- (435) 628-3334
- NPI assigned
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Utah School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Utah Ear Nose and Throat LLC
Practice addresses (Care Compare)
617 E Riverside Dr
Suite 201
St George, UT 84790-8721
Phone (435) 628-3334
Hospital & facility affiliations
- St. George Regional Hospital
- Intermountain Health Cedar City Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.42 of 100
- Quality
- 65.48
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 60.1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230920002863 | UT | Practitioner - Physician Assistant | 4486008703 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13563201-1206 | UT | Yes |
Addresses
Primary practice location
617 E Riverside Dr Ste 201
St George, UT 84790-8721
Mailing address
617 E Riverside Dr Ste 201
St George, UT 84790-8721
Other providers in St George, UT
- Isabella Batini
- Carlos Bauer
- Natalie Bauer
- Whitney Bauer
- Jonathan M Baugh
- Kelly Bawden Miller
- Bryant Dakoda Baxter
- Wiremu Alexander Puoho Bayliss
- Bcbu, Inc
- Michael Beacco
All providers in St George, UT · Physician Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.