SAMANTHA REIDT (PA-C) – Physician Assistant, NPI 1720481476

SAMANTHA REIDT (PA-C) is a healthcare provider. based in Ypsilanti, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601007128 (MI). The NPI Number for SAMANTHA REIDT (PA-C) is 1720481476

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA REIDT (PA-C)
NPI
1720481476
Phone
(734) 712-8676
Address
IHA HOSPITAL MEDICINE SERVICES
Enumeration Date
8 October 2014
Last Update Date
16 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484539883
Graduation Year
2014 (12 years ago)
PAC ID
2567784747
Group Practice PAC ID
0244659092
Professional Enrollment ID
I20141124002325
Address ID
MI480855099TR1950XRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for SAMANTHA REIDT (PA-C)

  • IHA HOSPITAL MEDICINE SERVICES

    5301 MCAULEY DRIVE

    YPSILANTI, MI 48197

    Phone: (734) 712-8676

    Type: Location

  • 30957 Lorraine Ave

    Warren, MI 480938014

    Phone: (586) 554-0117

    Type: Location

  • 30957 LORRAINE AVE

    WARREN, MI 480938014

    Phone: (586) 554-0117

    Type: Mailing

  • 14998 MELROSE ST

    LIVONIA, MI 481543572

    Phone: (586) 554-0117

    Type: Mailing

  • 4200 WHITEHALL DR STE 130

    ANN ARBOR, MI 48105

    Phone: (734) 995-0303

    Type: Location

  • 24 FRANK LLOYD WRIGHT DRIVE

    J2000

    ANN ARBOR, MI 48105

    Phone: (734) 747-6766

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-11-24

PECOS data refreshed: 2026-06-15

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
I20141124002325IPhysician AssistantMITBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7027$0
99239Hospital discharge day management, more than 30 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 48197)

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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: 0244659092View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
P O D I A T R YIL
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does SAMANTHA REIDT (PA-C) have a public NPI I can cite?
Public records show SAMANTHA REIDT (PA-C) under NPI 1720481476.
Is SAMANTHA REIDT (PA-C)'s NPI status active today?
Active status means SAMANTHA REIDT (PA-C)'s NPI record is not deactivated in the public file.
How should patients interpret SAMANTHA REIDT (PA-C)'s specialty?
The extract shows Physician Assistant for SAMANTHA REIDT (PA-C). Clinical services aligned with this taxonomy classification.
Is SAMANTHA REIDT (PA-C) tied to Ypsilanti, Michigan?
If you are local to Ypsilanti, Michigan, SAMANTHA REIDT (PA-C) may be relevant to your search.
Why is information missing for SAMANTHA REIDT (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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