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

Mrs. Diane K. Samson, PA-C

Individual provider Physician Assistant · NPI 1689627606

Mrs. Diane K. Samson, PA-C is a Physician Assistant in Bloomington, Minnesota. Qualified in 1999, 27 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
27
Licensed in
IL, MN
In the registry since
2006
Specialties on file
2
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

600 W 98th St
Bloomington, MN 55420-4773
Phone: (952) 885-6150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1324 N Sheridan Rd, Waukegan, IL 60085-2161 — (630) 334-0968

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13040 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 085-001315 (IL)

Record details

NPI number1689627606
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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