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

Individual provider Physician Assistant · NPI 1407323017

Samantha Luella Ronayne, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 2018, 8 years ago. Licensed in Rhode Island.

Years since qualifying
8
Licensed in
RI
In the registry since
2018
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

2 Dudley St Ste 470
Providence, RI 02905-3248
Phone: (401) 272-1800
Fax: (401) 751-5124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01906 (RI)

Record details

NPI number1407323017
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2018
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

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)
Accepts Medicare assignment Not indicated

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