MICHELLE SAMPLES (PA) – Physician Assistant, NPI 1972965275

MICHELLE SAMPLES (PA) is a healthcare provider. based in Greenville, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50.004697RX (OH). The NPI Number for MICHELLE SAMPLES (PA) is 1972965275

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE SAMPLES (PA)
NPI
1972965275
Phone
Not provided
Address
835 SWEITZER ST
Enumeration Date
25 March 2016
Last Update Date
21 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7318852410
Graduation Year
2015 (11 years ago)
PAC ID
9032403209
Group Practice PAC ID
0042307852
Professional Enrollment ID
I20170911000936
Address ID
TN382615403UN1201XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

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Provider Addresses for MICHELLE SAMPLES (PA)

  • Wayne Healthcare, 835, Sweitzer Street, Greenville, Darke County, Ohio, 45331, United States

    GREENVILLE, OH 453311007

    Phone:

    Type: Mailing

  • Clinch Avenue, Fort Sanders, Knoxville, Knox County, Tennessee, 37916, United States

    KNOXVILLE, TN 379162307

    Phone: (937) 547-5726

    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: 2017-09-11

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
I20170911000936IPhysician AssistantTNTBD

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
99291Critical care, first 30-74 minutes9241$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7938$0
View full utilization report →

Insurance plans in this area (ZIP 45331)

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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: 0042307852View full group profile
NameSpecialtyState
-KY
Family Practice, Geriatric MedicineKY
Internal MedicineNY
Internal MedicineTN
Internal Medicine, Emergency MedicineMS
-MO
Family Practice, Hospitalist, Family PracticeFL
Internal MedicineTN
Internal MedicineSC
-TN

Reviews

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Frequently asked questions

What is MICHELLE SAMPLES (PA)'s NPI number?
MICHELLE SAMPLES (PA)'s NPI is 1972965275 — the number used across U.S. healthcare to identify this provider.
Is MICHELLE SAMPLES (PA) still an active registrant?
MICHELLE SAMPLES (PA) carries an active NPI according to the public dataset.
What expertise is attributed to MICHELLE SAMPLES (PA)?
MICHELLE SAMPLES (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHELLE SAMPLES (PA)?
Travel planning: use Greenville, Ohio as the reference point for MICHELLE SAMPLES (PA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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