NPIMap

Individual provider Active NPI

Samantha Nichole Fonte

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1568067262
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11750 W 2ND PL Ste 160
Lakewood, CO 80228-1724
Phone
(303) 430-2700
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

11750 W 2ND PL Ste 160
Lakewood, CO 80228-1724

Mailing address

11750 W 2ND PL Ste 160
Lakewood, CO 80228-1724
Phone (303) 430-2700

Other identifiers 3

IdentifierTypeStateIssuer
428161002OtherTXOTHER CSHCN
8QA548OtherTXOTHER BCBS
428161001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210818000868 TX Practitioner - Physician Assistant 7517362288 Reassigns benefits to 1 organization
I20260121002654 CO Practitioner - Physician Assistant 7517362288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Cancer Centers LLPGroup PAC ID 7012820533, 131 clinicians

Practice addresses (Care Compare)

11750 W 2ND Place
Suite 150
Lakewood, CO 80228-1724
Phone (303) 763-4020

Hospital & facility affiliations

  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Cancer Centers, LLP CurrentSince Dec 6, 2025 Accepting new patients
Ut Physicians Physician Assistant CurrentSince Aug 14, 2023 Accepting new patients
Ut Physicians CurrentSince Aug 14, 2023 Accepting new patients
Mycare Medical of Texas, PLLC PastSince Nov 17, 2024 Accepting new patients
Jacinto Medical Group P a PastSince Mar 1, 2021 Accepting new patients

Locations

3027 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 577-2555

11750 W 2nd Pl
Ste 150
Lakewood, CO 80228
Phone (303) 763-4020

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

5656 Kelley St
#1
Houston, TX 77026
Phone (713) 500-7885

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1568067262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 W 2ND PL STE 160",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281724",
            "telephone_number": "303-430-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 W 2ND PL STE 160",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281724",
            "telephone_number": "303-430-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTE",
        "first_name": "SAMANTHA",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER CSHCN",
            "identifier": "428161002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER BCBS",
            "identifier": "8QA548",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428161001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.