Samantha Yates Nuckols, PA-C
NPI 1316353121ActiveIndividual· Physician Assistant· Creve Coeur, MO
Physician Assistant (PA-C) in Creve Coeur, Missouri, trained at Mercer University School of Medicine (class of 2014). 374 Medicare patients in 2024, $30,746 paid; nearly all of their 613 Part D prescriptions were generic (91%).
Overview
| NPI | 1316353121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 2, 2014 |
| Last updated in NPPES | Sep 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2017044296 | MO |
| Physician Assistant | 363A00000X | 0110-004588 | VA |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 374 |
|---|---|
| Services billed | 808 across 40 procedure codes |
| Paid by Medicare | $30,746 |
Part D prescriptions in 2024
| Prescriptions (claims) | 613 · 614 30-day fills |
|---|---|
| Patients | 460 |
| Total drug cost | $5,065 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | Mercer University School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Physician Assistant |
Medical group
- Mercy East Ambulatory Services LLCChesterfield, MO · 105 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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