Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amelia Samuelson, PA-C

Individual provider Physician Assistant · NPI 1780298570

Amelia Samuelson, PA-C is a Physician Assistant in Springfield, Ohio. Qualified in 2019, 7 years ago. Practices with Mount Carmel Healthproviders Two LLC, a 223-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

30 W McCreight Ave Ste 106
Springfield, OH 45504-1853
Phone: (937) 523-9820
Fax: (937) 523-9829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 McKinley Park Dr, Marion, OH 43302-6399 — (740) 383-8747

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006358RX (OH)

Record details

NPI number1780298570
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022
Mailing address30 W McCreight Ave Ste 106, Springfield, OH 45504-1853

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mount Carmel Healthproviders Two Llc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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