SAMANTHA JO STEELMAN (PAC) – Physician Assistant, NPI 1104151570

SAMANTHA JO STEELMAN (PAC) is a healthcare provider. based in Berthoud, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 2835 (CO). The NPI Number for SAMANTHA JO STEELMAN (PAC) is 1104151570

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA JO STEELMAN (PAC)
NPI
1104151570
Phone
(970) 381-2803
Address
670 ARCHES CT
Enumeration Date
2 October 2009
Last Update Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037725578
Graduation Year
2009 (17 years ago)
PAC ID
6305142209
Group Practice PAC ID
8527036128
Professional Enrollment ID
I20160302001375
Address ID
CO805013215LO1309XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for SAMANTHA JO STEELMAN (PAC)

  • 670 ARCHES CT

    BERTHOUD, CO 805132684

    Phone: (970) 381-2803

    Type: Mailing

  • 1309 SUNSET ST

    LONGMONT, CO 805013215

    Phone: (303) 772-5578

    Fax: (970) 482-0679

    Type: Location

  • East Elizabeth Street, Fort Collins, Larimer County, Colorado, 80524-3233, United States

    FORT COLLINS, CO 805244051

    Phone: (970) 484-0798

    Fax: (970) 482-0679

    Type: Location

  • 312, Milky Way Drive, Fort Collins, Larimer County, Colorado, 80525, United States

    FORT COLLINS, CO 805253927

    Phone: (970) 381-2803

    Fax: (970) 482-0679

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($17).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160302001375IPhysician AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6349$0
99213Established patient office or other outpatient visit, 20-29 minutes5748$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3131$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1111$0
G0009Administration of pneumococcal vaccine1111$0
View full utilization report →

Insurance plans in this area (ZIP 80513)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527036128View full group profile
NameSpecialtyState
Nurse PractitionerCO
Family PracticeCO
Family PracticeCO
Nurse PractitionerCO
Family PracticeCO

Reviews

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Frequently asked questions

What is the registry number for SAMANTHA JO STEELMAN (PAC)?
The registry entry for SAMANTHA JO STEELMAN (PAC) shows NPI 1104151570.
Should I treat SAMANTHA JO STEELMAN (PAC) as an active provider?
Patients and plans typically see SAMANTHA JO STEELMAN (PAC) as active in the national extract.
What services align with SAMANTHA JO STEELMAN (PAC)'s listing?
SAMANTHA JO STEELMAN (PAC)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SAMANTHA JO STEELMAN (PAC)?
SAMANTHA JO STEELMAN (PAC) is associated with Berthoud, Colorado in the same public data insurers reference.
Can I export SAMANTHA JO STEELMAN (PAC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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