Samantha Mooberry, PA-C
NPI 1225411325 · Physician Assistant · Peoria, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Mooberry, PA-C is a Physician Assistant provider in Peoria, IL (NPI 1225411325).
Provider details
- NPI number
- 1225411325
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085-005497 (IL)
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
10 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
- 2015-07-07
- Last updated
- 2019-02-26
Frequently asked questions
- What is Samantha Mooberry's NPI number?
- Samantha Mooberry's National Provider Identifier (NPI) is 1225411325, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Mooberry's specialty?
- Samantha Mooberry is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samantha Mooberry located?
- Samantha Mooberry's practice location on file with NPPES is 530 Ne Glen Oak Ave, Peoria, IL 61637-0001.
- What is Samantha Mooberry's phone number?
- The practice phone number listed in the NPPES registry for Samantha Mooberry is (309) 624-8818.
- Does Samantha Mooberry accept Medicare?
- Samantha Mooberry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Mooberry's NPI active?
- Yes — Samantha Mooberry's NPI (1225411325) is active in the NPPES registry as of the last update on 2019-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.