Samantha Waters, PA-C
NPI 1902355753ActiveIndividual· Physician Assistant, Surgical· Redding, CA
Physician Assistant, Surgical (PA-C) in Redding, California, licensed in CA and OR, with an NPI issued in September 2016. Mostly services rather than prescriptions: Medicare paid $24,166 for 127 patients in 2024, with only 25 Part D claims.
Overview
| NPI | 1902355753 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 21, 2016 |
| Last updated in NPPES | Dec 2, 2021 |
| Certified by provider | Dec 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA54090 | CA |
| Physician Assistant | 363A00000X | PA178413 | OR |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 127 |
|---|---|
| Services billed | 2,427 across 27 procedure codes |
| Paid by Medicare | $24,166 |
Part D prescriptions in 2024
| Prescriptions (claims) | 25 · 25 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $139.32 |
| Generic share | 100% of claims |
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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