Individual provider · Type 1 NPI

Samantha Meyer

Physician Assistant · Kenosha, WI

NPI number 1780320606 Active

Practice location

10400 75th St
Kenosha, WI 53142-7884

Call (262) 948-5600 Map

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 8430 Market St Apt 401, Middleton, WI 53562-4782 · (715) 563-6342

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7187-23 (WI)

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 1780320606

Samantha Meyer's National Provider Identifier is 1780320606, issued on May 12, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kenosha, WI. The record was last updated on Dec 16, 2025.