Haley Elizabeth Sampsell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9780 Issued in AZ

Practice address

2300 S Houghton Rd Ste 240
Tucson, AZ 85748-0002

Phone

(530) 052-0885

Fax

(520) 885-5309

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Haley Elizabeth Cherry Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Star Clinic LLCGroup PAC ID 3274894407, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: haley.sampsell.1@1576.direct.athenahealth.com

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.

• Star Clinic LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Peoria, AZ
  • NPI 1932608106
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1407536352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S HOUGHTON RD STE 240",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857480002",
            "telephone_number": "814-657-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S HOUGHTON RD STE 240",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857480002",
            "telephone_number": "530-052-0885",
            "fax_number": "520-885-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSELL",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haley.sampsell.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "2300 S Houghton Rd Ste 240",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857480002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "CHERRY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rogelio Santamaria Samorano, MD
• Sarah Samoy, MD
• Valarie Samoy, DPM
• Polina Moiseyevna Samoylova, NP
• Linda H Sampliner, EDD
• Adelene Sampson
• Rachel Sampson, M.A. CCC-SLP
• Tara Samra, MD
• Sams West Inc
• Leila Samsam, DNP

• Physician Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.

Verify at the official NPI Registry.