Individual provider Active NPI

Samantha Corinne Lipka Hawley, PA-C

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1912420142
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7354 Issued in AZ
Practice address
1155 W Ocotillo Rd Ste 4
Chandler, AZ 85248-3201
Phone
(480) 374-7400
NPI assigned
Jul 19, 2017
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54654 CA
Physician Assistant 363A00000X 7354 AZ Primary

Addresses

Primary practice location

1155 W Ocotillo Rd Ste 4
Chandler, AZ 85248-3201

Mailing address

1355 S Sandstone St
Gilbert, AZ 85296-4367
Phone (480) 250-7532

Other identifiers 2

IdentifierTypeStateIssuer
54654OtherCACALIFORNIA PHYSICIAN ASSISTANT LICENSE
7354OtherAZARIZONA PHYSICIAN ASSISTANT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240429001971 AZ Practitioner - Physician Assistant 3375983083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1066 N Power Rd
Suite 101
Mesa, AZ 85205-5709
Phone (480) 807-0130

1155 W Ocotillo Rd
Suite 4
Chandler, AZ 85248-3201
Phone (480) 374-7400

1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4813
Phone (520) 876-0800

20236 N John Wayne Pkwy
Suite 100
Maricopa, AZ 85139-2911
Phone (520) 518-7510

2080 W Southern Ave
BLDG A1
Apache Junction, AZ 85120-7653
Phone (480) 985-0172

2122 N Scottsdale Rd
Scottsdale, AZ 85257-2123
Phone (480) 889-3570

2145 E Baseline Rd
Tempe, AZ 85283-1546
Phone (480) 704-4411

535 E McKellips Rd
Suite 101
Mesa, AZ 85203-2525
Phone (480) 844-7400

5369 S Calle Santa Cruz
Suite 145
Tucson, AZ 85706-3963
Phone (520) 573-7500

600 S Dobson Rd
Suite C26
Chandler, AZ 85224-5690
Phone (480) 814-1560

6343 S Higley Rd
Gilbert, AZ 85298-4339
Phone (480) 748-2712

7230 W Ray Rd
Suite 10
Chandler, AZ 85226-1531
Phone (623) 888-6359

835 N Gilbert Rd
Suite 101
Gilbert, AZ 85234-3372
Phone (480) 353-2210

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9241 E Cadence Pkwy
Suite 101
Mesa, AZ 85212-0021
Phone (480) 626-7203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7354AZMDChiropractor

Interoperability endpoints

  • Direct secure messaging: samantha.hawleypac.p1@direct.nextcare.nextgenshare.com

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, 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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1912420142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S SANDSTONE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964367",
            "telephone_number": "480-250-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W OCOTILLO RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483201",
            "telephone_number": "480-374-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "SAMANTHA",
        "middle_name": "CORINNE LIPKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54654",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "54654",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "7354",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.