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

Samantha May Delacey

Individual provider Internal Medicine Physician · NPI 1013663012

Samantha May Delacey is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2022, 4 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone: (651) 254-7980
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 507 North 17th Street, Milwaukee, WI 53233 — (414) 288-5688

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14144 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 14144 (MN)

Record details

NPI number1013663012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2022
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Saint Paul