Active NPI
Samantha Gary
- Physician Assistant
- Wabash, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10004134A
- Practice address
- 1146 N Cass St Ste C
Wabash, IN 46992-1082 - Phone
- (260) 560-3001
- NPI assigned
- Oct 25, 2022
- Last updated
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | 10004134A | IN | Primary |
Addresses
Primary practice location
1146 N Cass St Ste C
Wabash, IN 46992-1082
Mailing address
1146 N Cass St Ste C
Wabash, IN 46992-1082
Phone (260) 560-3001
Other practice location 1
2800 Walmart Dr
Huntington, IN 46750-7977
Phone (260) 200-4960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
1641 S US Hwy 231
Crawfordsville, IN 47933-9421
Phone (865) 436-2811
2800 Walmart Dr
Huntington, IN 46750-7977
Phone (260) 200-4950
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Bibb MD PLLC | Current | Accepting new patients | |
| Access Medical Clinic LLC | Current | Accepting new patients | |
| Bradley Bibb MD PLLC | Current | Accepting new patients | |
| Access Medical Clinic LLC | Current | Accepting new patients | |
| Access Medical Clinic LLC | Past | Accepting new patients |
Locations
4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100
1641 S US Highway 231
Crawfordsvlle, IN 47933
Phone (765) 307-7146
2800 Walmart Dr
Huntington, IN 46750
Phone (260) 200-4950
2001 S 1st St
Chickasha, OK 73018
Phone (405) 224-0292
2400 S Country Club Rd
El Reno, OK 73036
Phone (405) 262-6112
Organizations & group practices 7
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.
-
dba Access Medical Clinic
- Rural Health Clinic/Center
- Crawfordsville, IN
- NPI 1831810431
-
- Rural Health Clinic/Center
- Huntington, IN
- NPI 1699582627
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Physician Assistant
- Fort Wayne, IN
- NPI 1528090610
-
- Rural Health Clinic/Center
- Jacksboro, TN
- NPI 1114881117
-
- Rural Health Clinic/Center
- Chickasha, OK
- NPI 1013724764
-
- Rural Health Clinic/Center
- Valley, AL
- NPI 1912696923
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba Lutheran Downtown Hospital
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1023060472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1396462800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 N CASS ST STE C",
"city": "WABASH",
"state": "IN",
"postal_code": "469921082",
"telephone_number": "260-560-3001",
"fax_number": "260-560-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1146 N CASS ST STE C",
"city": "WABASH",
"state": "IN",
"postal_code": "469921082",
"telephone_number": "260-560-3001"
}
],
"practiceLocations": [
{
"address_1": "2800 Walmart Dr",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "IN",
"postal_code": "467507977",
"country_code": "US",
"telephone_number": "260-200-4960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARY",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-25",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10004134A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wabash, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.