SAMANTHA KIBLER (PA) – Medical Physician Assistant, NPI 1699372383

SAMANTHA KIBLER (PA) is a healthcare provider. based in Massillon, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for SAMANTHA KIBLER (PA) is 1699372383

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA KIBLER (PA)
NPI
1699372383
Phone
(330) 478-0001
Address
7337 CARITAS CIR NW STE 150
Enumeration Date
6 October 2020
Last Update Date
14 October 2020

Doctor Profile

Medical School Name
OHIO MEDICAL UNIVERSITY
Secondary Phone
3304386333
Graduation Year
2020 (6 years ago)
PAC ID
8820408198
Group Practice PAC ID
0143611897
Professional Enrollment ID
I20201028001495
Address ID
OH447101702CA2600XSWXX400

Contacts

Main Contact
secure13.oncoemr.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for SAMANTHA KIBLER (PA)

  • 7337 CARITAS CIR NW STE 150

    MASSILLON, OH 446469128

    Phone: (330) 478-0001

    Fax: (330) 837-2646

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $2,037.

Total Amount is formed as General ($2,037) + Research ($0) + Ownership ($0) = $2,037.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($306).

Total Amount

$2,037

General + Research + Ownership

Payments

92

Total payment records

General Amount

$2,037

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2020-10-28

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
I20201028001495IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44646)

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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: 0143611897View full group profile
NameSpecialtyState
Internal MedicineOH
Internal Medicine, Hematology/OncologyOH
Internal Medicine, Hematology/OncologyOH
H E M A T O L O G Y/ O N C O L O G YOH
Certified Clinical Nurse Specialist (Cns)OH
H E M A T O L O G Y/ O N C O L O G YID
Hematology/Oncology, Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is SAMANTHA KIBLER (PA)'s NPI number?
SAMANTHA KIBLER (PA)'s NPI is 1699372383 — the number used across U.S. healthcare to identify this provider.
Is SAMANTHA KIBLER (PA) still an active registrant?
SAMANTHA KIBLER (PA) carries an active NPI according to the public dataset.
What clinical focus is listed for SAMANTHA KIBLER (PA)?
At a glance, SAMANTHA KIBLER (PA) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMANTHA KIBLER (PA)?
Travel planning: use Massillon, Ohio as the reference point for SAMANTHA KIBLER (PA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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