Samantha Debevec, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

1001 12TH Ave Ste 171
Fort Worth, TX 76104-3926

Phone

(817) 576-6500

NPI assigned

Aug 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
• Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274
• St Charles Parish Hospital Hospital, Luling, LA, CCN 190079

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdebevec1478655@direct.ochsner.org

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.

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment Care Compare group NPD (past)
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • Belle Chasse, LA
  • NPI 1881913648
  NPD
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814

  Medical

  NPD (past)
• Surgery Associates of NTX, PLLC

  • Surgery Physician
  • Denton, TX
  • NPI 1134522691
  NPD (past)

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

• Hospital Service Dist. No. 1 of the Parish of St. Charles, State of la

  • General Acute Care Hospital
  • Luling, LA
  • NPI 1295716637
  Care Compare affiliation
• Ochsner Clinic Foundation

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100
  Care Compare affiliation
• Ochsner Medical Center - Kenner, L.L.C.

  • General Acute Care Hospital
  • Kenner, LA
  • NPI 1710097936
  Care Compare affiliation

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1477929891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 SONDRA DR APT C304",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071894",
            "telephone_number": "337-224-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 171",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-576-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750573639",
            "country_code": "US",
            "telephone_number": "940-800-1920",
            "fax_number": "866-741-2621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Coit Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750756172",
            "country_code": "US",
            "telephone_number": "940-800-1920",
            "fax_number": "866-741-2621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 S Interstate 35 E Ste 112",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106868",
            "country_code": "US",
            "telephone_number": "940-800-1920",
            "fax_number": "866-741-2621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6750 N MacArthur Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392469",
            "country_code": "US",
            "telephone_number": "940-800-1920",
            "fax_number": "866-741-2621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3025 N Tarrant Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778629",
            "country_code": "US",
            "telephone_number": "940-800-1920",
            "fax_number": "866-741-2621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBEVEC",
        "first_name": "SAMANTHA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas M. Deas, M.D.
• Kristina J. Deason, MD
• Lauren Cathrine Deason, AGACNP-BC
• Kendra L. Deberry, O.D.
• Sara Anne Deberry, PA-C
• David W Deboer, LPC
• Deborah K Lehmann, M.D.
• Shelley C Debusk, CPNP
• Matthew Decaro, LMSW
• Damon L Decarrillo, STUDENT

• Surgical Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.