Active NPI
Samantha Martin, PA-C
- Physician Assistant
- Austin, MN
National Provider Identifier
1952933822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14080
- Practice address
- 1000 1St Dr NW
Austin, MN 55912-2941 - Phone
- (507) 433-7351
- NPI assigned
- Feb 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14080 | MN | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
1000 1St Dr NW
Austin, MN 55912-2941
Mailing address
1000 1St Dr NW
Austin, MN 55912-2941
Phone (507) 433-7351
Other practice location 1
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (816) 251-5100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smartin1747768@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220725003291 | MN | Practitioner - Physician Assistant | 7517394422 | Reassigns benefits to 10 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Lake City | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Past | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
1000 1st Dr NW
Austin, MN 55912
Phone (507) 433-7351
32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
701 Hewitt Blvd
Red Wing, MN 55066
Phone (507) 377-6285
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Interoperability endpoints
- sboice377862@direct.saint-lukes.org
Organizations & group practices 13
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.
-
- Critical Access Hospital
- Cannon Falls, MN
- NPI 1063435410
MN
-
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
MN
-
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
MN
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
MN
-
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
MN
-
- Multi-Specialty Clinic/Center
- Red Wing, MN
- NPI 1114453883
-
- Clinic Pharmacy
- Cannon Falls, MN
- NPI 1699597468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1952933822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 1ST DR NW",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559122941",
"telephone_number": "507-433-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 1ST DR NW",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559122941",
"telephone_number": "507-433-7351"
}
],
"practiceLocations": [
{
"address_1": "12300 Metcalf Ave",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662131324",
"country_code": "US",
"telephone_number": "816-251-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "SAMANTHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "14080",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smartin1747768@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1000 1st Dr NW",
"city": "Austin",
"state": "MN",
"country_code": "US",
"postal_code": "559122941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.