Individual provider Active NPI

Samantha Leigh Zimmerman, PA-C

  • Medical Physician Assistant
  • Lancaster, PA
National Provider Identifier
1700133121
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055582 Issued in PA
Practice address
604 Stockdale Dr
Lancaster, PA 17601-5098
Phone
(610) 823-5054
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MC2701870 PA
Surgical Physician Assistant 363AS0400X MA055582 PA
Medical Physician Assistant 363AM0700X MA055582 PA Primary

Addresses

Primary practice location

604 Stockdale Dr
Lancaster, PA 17601-5098

Mailing address

604 Stockdale Dr
Lancaster, PA 17601-5098
Phone (610) 823-5054

Other names 1

  • Samantha Leigh Connerton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20121126000239 PA Practitioner - Physician Assistant 2961653951 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Medical GroupGroup PAC ID 3779688650, 190 clinicians

Practice addresses (Care Compare)

2494 Bernville Rd
Suite 201
Reading, PA 19605-9468
Phone (610) 378-2676

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Lancaster General Hospital CurrentSince Jul 31, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Oct 19, 2015 Accepting new patients
Tower Health Medical Group CurrentSince Oct 19, 2015 Accepting new patients
Lancaster General Hospital CurrentSince Jul 31, 2023 Accepting new patients
St. Joseph Medical Group CurrentSince Jan 1, 2026 Accepting new patients

Locations

31 Industrial Dr
Ste 150
Hamburg, PA 19526
Phone (610) 376-8671

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

540 N Duke St
Ste 110
Lancaster, PA 17602
Phone (717) 290-4995

2494 Bernville Rd
Ste 201
Reading, PA 19605
Phone (610) 378-2557

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

2494 Bernville Rd
Reading, PA 19605
Phone (610) 378-2676

301 S 7th Ave
Ste 2020
West Reading, PA 19611

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1700133121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 STOCKDALE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015098",
            "telephone_number": "610-823-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 STOCKDALE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015098",
            "telephone_number": "610-823-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "SAMANTHA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MC2701870",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA055582",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CONNERTON",
            "middle_name": "LEIGH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.