Samantha Petras, PA
NPI 1063119055 · Medical Physician Assistant · Tempe, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Petras, PA is a Medical Physician Assistant provider in Tempe, AZ (NPI 1063119055).
Provider details
- NPI number
- 1063119055
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 10056 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-02-10
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Frequently asked questions
- What is Samantha Petras's NPI number?
- Samantha Petras's National Provider Identifier (NPI) is 1063119055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Petras's specialty?
- Samantha Petras is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samantha Petras located?
- Samantha Petras's practice location on file with NPPES is 3255 S Rural Rd, Tempe, AZ 85282-3853.
- What is Samantha Petras's phone number?
- The practice phone number listed in the NPPES registry for Samantha Petras is (480) 304-5467.
- Does Samantha Petras accept Medicare?
- Samantha Petras is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Petras's NPI active?
- Yes — Samantha Petras's NPI (1063119055) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.