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

Individual provider Physician Assistant · NPI 1942911821

Samantha Lackey, PA-C is a Physician Assistant in Lafayette, Indiana. Qualified in 2023, 3 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2022
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

5165 McCarty Ln
Lafayette, IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 838-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 W New York St, Indianapolis, IN 46202-5224 — (317) 274-7238

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004159A (IN)

Record details

NPI number1942911821
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 12, 2022
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Lafayette