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

Samantha Mantz

Individual provider Physician Assistant · NPI 1902217045

Samantha Mantz is a Physician Assistant in Coon Rapids, Minnesota. Qualified in 2014, 12 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
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Practice location Address checks out

4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568
Phone: (763) 427-9980
Fax: (763) 427-0904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1902217045
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 12, 2014
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-4568

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Coon Rapids