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

Individual provider Surgical Physician Assistant · NPI 1184104036

Samantha Jo Lorenz, PA is a Physician Assistant in Madison, Wisconsin. Qualified in 2018, 8 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-1530
Fax: (608) 265-8887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4511-23 (WI)

Record details

NPI number1184104036
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 20, 2018
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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