Individual provider · Type 1 NPI

Samantha Elliott, PA-C

Physician Assistant · Indianapolis, IN

NPI number 1154079671 Active

Practice location

705 Riley Hospital Dr Ste 1721
Indianapolis, IN 46202-5109

Mailing address

PO Box 713577
Chicago, IL 60677-0403

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10003553A (IN)
Physician Assistant 363A00000XPENDING (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154079671

Samantha Elliott, PA-C's National Provider Identifier is 1154079671, issued on Mar 14, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 26, 2026.