Active NPI
Samantha Nikol Miner, PA-C
- Physician Assistant
- Wasilla, AK
National Provider Identifier
1871450676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 249035
- Practice address
- 3066 E Meridian Park Loop
Wasilla, AK 99654-7254 - Phone
- (406) 490-7400
- NPI assigned
- Jan 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 249035 | AK | Primary |
Addresses
Primary practice location
3066 E Meridian Park Loop
Wasilla, AK 99654-7254
Mailing address
HC 60 Box 2607
Haines, AK 99827-9702
Phone (406) 490-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Washington School of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 E Dimond Blvd
Suite 103
Anchorage, AK 99515-2001
Phone (907) 267-5890
3066 E Meridian Park Loop
Suite 2
Wasilla, AK 99654-7254
Phone (907) 333-2133
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249035 | AK | MD | Physician Assistant |
Organizations & group practices 2
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.
-
dba Capstone Urgent Care
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1538414834
-
- Dermatology Physician
- Wasilla, AK
- NPI 1760356208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1871450676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 60 BOX 2607",
"city": "HAINES",
"state": "AK",
"postal_code": "998279702",
"telephone_number": "406-490-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3066 E MERIDIAN PARK LOOP",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547254",
"telephone_number": "406-490-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "SAMANTHA",
"middle_name": "NIKOL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-06",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "249035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.