SAMANTHA HUDSON (PA-C) – Physician Assistant, NPI 1508319443

SAMANTHA HUDSON (PA-C) is a healthcare provider. based in Poland, Ohio. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. MA058293 (PA). The NPI Number for SAMANTHA HUDSON (PA-C) is 1508319443

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA HUDSON (PA-C)
NPI
1508319443
Phone
(330) 629-2300
Address
1301 BOARDMAN POLAND RD
Enumeration Date
27 July 2016
Last Update Date
28 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8778410044
Graduation Year
2016 (10 years ago)
PAC ID
5799072310
Group Practice PAC ID
1850311010
Professional Enrollment ID
I20190911001829
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:9State licenses:3Digital endpointsOther names

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Provider Addresses for SAMANTHA HUDSON (PA-C)

  • 1301 BOARDMAN POLAND RD

    POLAND, OH 445141960

    Phone: (330) 629-2300

    Type: Mailing

  • Hot Metal Street, Pittsburgh Technology Center, Pittsburgh, Allegheny County, Pennsylvania, 15213-4026, United States

    QUANTUM BLDG. 1

    PITTSBURGH, PA 152032348

    Phone: (412) 432-7400

    Fax: (412) 432-7480

    Type: Mailing

  • UPMC Horizon - Shenango Valley, 2200, Memorial Drive, Farrell, Mercer County, Pennsylvania, 16121, United States

    FARRELL, PA 161211357

    Phone: (724) 981-3500

    Type: Location

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: 2019-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160926002093IPhysician AssistantPATBD
I20190911001829IPhysician AssistantOHTBD

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
99203New patient office or other outpatient visit, 30-44 minutes3939$0
99213Established patient office or other outpatient visit, 20-29 minutes3129$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2422$0
99214Established patient office or other outpatient visit, 30-39 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 44514)

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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: 1850311010View full group profile

Reviews

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Frequently asked questions

What NPI should I save for SAMANTHA HUDSON (PA-C)?
Save NPI 1508319443 if you need a stable reference for SAMANTHA HUDSON (PA-C).
Is SAMANTHA HUDSON (PA-C) active in the national directory?
SAMANTHA HUDSON (PA-C)'s public NPI profile is in an active state.
What does SAMANTHA HUDSON (PA-C) treat or focus on?
Patients typically see SAMANTHA HUDSON (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does SAMANTHA HUDSON (PA-C) practice in Ohio?
You will see Poland, Ohio on file for SAMANTHA HUDSON (PA-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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