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Samantha A. Mooberry, PA-C

NPI 1225411325ActiveIndividual· Physician Assistant· Peoria, IL

Physician Assistant (PA-C) with Osf Multi-Specialty Group, practicing in Peoria, Illinois. Medicare paid $1,758 for services to 15 patients in 2024. Lists Saint Francis Medical Center as a hospital affiliation.

Overview

NPI1225411325
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJul 7, 2015
Last updated in NPPESFeb 26, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X085-005497IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (IL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients15
Services billed17 across 4 procedure codes
Paid by Medicare$1,758

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Peoria

All 102 physician assistants in Peoria · All physician assistants in Illinois