NPIMap

Individual provider Active NPI

Samantha Catton

  • Physician Assistant
  • Aledo, IL
National Provider Identifier
1649802364
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1007 NW 3Rd St
Aledo, IL 61231-1317
Phone
(309) 582-9251
NPI assigned
Feb 11, 2020
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

1007 NW 3Rd St
Aledo, IL 61231-1317

Mailing address

420 Fence Line Dr
Blue Grass, IA 52726-9445

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Samantha.Shepard@direct.genesishealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200415003420 IL Practitioner - Physician Assistant 0345670303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Mercer HospitalGroup PAC ID 4789674961, 8 clinicians
Genesis Medical Center, AledoGroup PAC ID 7315190436, 17 clinicians
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Practice addresses (Care Compare)

1007 NW 3Rd St
Aledo, IL 61231-1317

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Center, Aledo CurrentSince May 18, 2020 Accepting new patients
Genesis Health System CurrentSince May 18, 2020 Accepting new patients
Genesis Health System CurrentSince May 18, 2020 Accepting new patients
Genesis Medical Center, Aledo CurrentSince May 18, 2020 Accepting new patients
Genesis Medical Center, Aledo Past Accepting new patients
Genesis Health System Past Accepting new patients

Locations

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

1007 NW 3rd St
Aledo, IL 61231
Phone (309) 582-3701

409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329

Interoperability endpoints

  • Direct secure messaging: samantha.shepard@direct.genesishealth.com

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.

Hospital & facility affiliations 4

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1649802364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FENCE LINE DR",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527269445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 NW 3RD ST",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311317",
            "telephone_number": "309-582-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATTON",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Samantha.Shepard@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1007 NW 3rd St",
            "city": "Aledo",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612311317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aledo, IL

Sources for this page

Verify at the official NPI Registry.