Samantha Jack, PA-C
NPI 1316314925 · Surgical Physician Assistant · Beavercreek, OH
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Jack, PA-C is a Surgical Physician Assistant provider in Beavercreek, OH (NPI 1316314925).
Provider details
- NPI number
- 1316314925
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- 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
10 yrs in NPPES 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
- 2015-08-31
- Last updated
- 2018-03-20
Frequently asked questions
- What is Samantha Jack's NPI number?
- Samantha Jack's National Provider Identifier (NPI) is 1316314925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Jack's specialty?
- Samantha Jack is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samantha Jack located?
- Samantha Jack's practice location on file with NPPES is 725 University Blvd, Beavercreek, OH 45324-2640.
- What is Samantha Jack's phone number?
- The practice phone number listed in the NPPES registry for Samantha Jack is (937) 245-7150.
- Does Samantha Jack accept Medicare?
- Samantha Jack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Jack's NPI active?
- Yes — Samantha Jack's NPI (1316314925) is active in the NPPES registry as of the last update on 2018-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.