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

Samantha Nowak, PA-C

Individual provider Physician Assistant · NPI 1801140223

Samantha Nowak, PA-C is a Physician Assistant in Johnstown, Colorado. Qualified in 2012, 14 years ago. Practices with Banner Hospital Based Physicians Colorado LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Colorado and Georgia.

Years since qualifying
14
Licensed in
CO, GA
In the registry since
2012
Specialties on file
2
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

4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566
Phone: (970) 619-8139
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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 8956 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 6653 (GA)

Record details

NPI number1801140223
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2012
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Banner Hospital Based Physicians Colorado Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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