Samantha Vonderau, PA
NPI 1124999321 · Physician Assistant · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Vonderau, PA is a Physician Assistant provider in Fort Wayne, IN (NPI 1124999321).
Provider details
- NPI number
- 1124999321
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
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
Under 1 yr in registry
- Profile completeness38% of score
83% 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
- 2025-09-12
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Frequently asked questions
- What is Samantha Vonderau's NPI number?
- Samantha Vonderau's National Provider Identifier (NPI) is 1124999321, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Vonderau's specialty?
- Samantha Vonderau is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samantha Vonderau located?
- Samantha Vonderau's practice location on file with NPPES is 7201 Engle Rd, Fort Wayne, IN 46804-2228.
- What is Samantha Vonderau's phone number?
- The practice phone number listed in the NPPES registry for Samantha Vonderau is (260) 432-1800.
- Does Samantha Vonderau accept Medicare?
- Samantha Vonderau is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Vonderau's NPI active?
- Yes — Samantha Vonderau's NPI (1124999321) is active in the NPPES registry as of the last update on 2025-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.