Active NPI
Samantha Myers
- Physician Assistant
- Naperville, IL
National Provider Identifier
1871462697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1226696
- Practice address
- 30 N Brainard St
Naperville, IL 60540-4690 - Phone
- (630) 637-5555
- NPI assigned
- Oct 31, 2025
- Last updated
- Oct 31, 2025
- 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 | 1226696 | IL | Primary |
Addresses
Primary practice location
30 N Brainard St
Naperville, IL 60540-4690
Mailing address
30 N Brainard St
Naperville, IL 60540-4690
Medicare participation
Medicare enrollment files- 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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 10417
Holyoke, MA 01041
PO Box
Suite 552
Lisle, IL 60532
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1226696 | IL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1871462697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N BRAINARD ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605404690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N BRAINARD ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605404690",
"telephone_number": "630-637-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-31",
"last_updated": "2025-10-31",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "1226696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.