Samantha Decker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601012195 Issued in MI

Practice address

7 Atkinson Dr Ste 111
Ludington, MI 49431-1917

Phone

(231) 843-3487

NPI assigned

Mar 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, MI2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Medical Center of West MichiganGroup PAC ID 3678543659, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corewell Health Ludington Hospital Hospital, Ludington, MI, CCN 230110

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdecker1867189@epic00.corewelldirect.org

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.

• Memorial Medical Center of West Michigan

  • General Acute Care Hospital
  • Ludington, MI
  • NPI 1972589489

  MI

  Medicare reassignment Care Compare group NPD
• Eugene Springfield Nephrology Associates, PC

  • Nephrology Physician
  • Springfield, OR
  • NPI 1073534004

  OR

  Medicare reassignment
• Memorial Medical Center of West Michigan

  • Rural Health Clinic/Center
  • Ludington, MI
  • NPI 1346628518
  Care Compare group
• Memorial Medical Center of West Michigan

  • Rural Health Clinic/Center
  • Ludington, MI
  • NPI 1538528872
  Care Compare group
• Memorial Medical Center of West Michigan

  • Rural Health Clinic/Center
  • Hesperia, MI
  • NPI 1730642794
  Care Compare group
• Memorial Medical Center of West Michigan

  • Rural Health Clinic/Center
  • Hart, MI
  • NPI 1861800674
  Care Compare group
• Memorial Medical Center of West Michigan

  • Rural Health Clinic/Center
  • Grant, MI
  • NPI 1932662996
  Care Compare group
• Memorial Medical Center of West Michigan

  • Rural Health Clinic/Center
  • Ludington, MI
  • NPI 1982063210
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Medical Center of West Michigan

  • General Acute Care Hospital
  • Ludington, MI
  • NPI 1972589489

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1982305694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ATKINSON DR STE 111",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311917",
            "telephone_number": "231-843-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dannie J Gentry MD PC
• Grover Wayne Davis, BA,CSAC,CAC
• Ladinia Davis, CPHT
• Teddy Dawson, LPC
• Katie Debellis, PHARMD
• Heather Lynn Dennis, LBSW
• Jorel Dickinson-Hendershot, CRNA
• Lauren Elizabeth Dixon, LMSW
• Douglas J Gentry MD PLLC
• Dr Daniel G Reum DO PC

• All providers in Ludington, MI
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.

Verify at the official NPI Registry.