Individual provider Active NPI

Samantha A Graef, PA-C

  • Medical Physician Assistant
  • Pflugerville, TX
National Provider Identifier
1851796775
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
00000 Issued in TX
Practice address
1512 Town Center Dr Ste 100
Pflugerville, TX 78660-7679
Phone
(512) 324-4875
Fax
(512) 324-4876
NPI assigned
Nov 4, 2014
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 00000 TX Primary

Addresses

Primary practice location

1512 Town Center Dr Ste 100
Pflugerville, TX 78660-7679

Mailing address

1512 Town Center Dr Ste 100
Pflugerville, TX 78660-7679
Phone (512) 324-4875

Other names 1

  • Samantha Dorer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150112000297 TX Practitioner - Physician Assistant 3779807219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1512 Town Ctr Dr
Suite 100
Pflugerville, TX 78660-7679
Phone (512) 324-4875

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Nov 9, 2020 Accepting new patients
Seton Family of Doctors CurrentSince Nov 9, 2020 Accepting new patients
Seton Family of Doctors Past Accepting new patients
St. David's Ortho, Neuro and Rehab, PLLC Past Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1512 Town Center Dr
Ste 100
Pflugerville, TX 78660
Phone (512) 324-4875

Interoperability endpoints

  • Direct secure messaging: 4164-graef-samantha@direct.leadingreach.com
  • Direct secure messaging: samantha.graef.1@8363.direct.athenahealth.com
  • Direct secure messaging: samantha.graef@hca8.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1851796775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 TOWN CENTER DR STE 100",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607679",
            "telephone_number": "512-324-4875",
            "fax_number": "512-324-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 TOWN CENTER DR STE 100",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607679",
            "telephone_number": "512-324-4875",
            "fax_number": "512-324-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAEF",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "DORER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.