Samantha Kaye Spata, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8918-23 Issued in WI

Practice address

345 W Washington Ave Ste 100
Madison, WI 53703-2996

Phone

(608) 417-8300

NPI assigned

Jul 27, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Center of Southeast TexasGroup PAC ID 9739195041, shared by 6 NPIs, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Dayton Regional Medical Center Hospital, Liberty, TX, CCN 451375

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIDFAA

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.

• Health Center of Southeast Texas

  dba Health Center of Southeast Texas - Liberty

  • Federally Qualified Health Center (FQHC)
  • Liberty, TX
  • NPI 1043570567
  NPD
• Health Center of Southeast Texas

  dba Health Center of Southeast Texas - Terrenos

  • Federally Qualified Health Center (FQHC)
  • Cleveland, TX
  • NPI 1265197867
  NPD
• Health Center of Southeast Texas

  dba Health Center of Southeast Texas-Shepherd

  • Federally Qualified Health Center (FQHC)
  • Cleveland, TX
  • NPI 1225059686
  NPD (past)

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

• Liberty County Hospital District No 1

  dba Liberty Dayton Regional Medical Center

  • Critical Access Hospital
  • Liberty, TX
  • NPI 1154324952
  Care Compare affiliation

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1811623218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W WASHINGTON AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W WASHINGTON AVE STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032996",
            "telephone_number": "608-417-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATA",
        "first_name": "SAMANTHA",
        "middle_name": "KAYE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8918-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Spangler
• Jacob Douglas Spangler, PHARMD
• Alison Spanner, M.S.W.
• Colin Peter Sparks, LMT
• Paige R Spata, MD
• Benjamin Louis Spector, M.D.
• Julie Ann Speelman
• Jeanmari Speer, RN, MSN, APNP
• Jill Speer
• Tod W Speer, MD

• Physician Assistant in Madison, WI
• Providers in Madison, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.