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

Individual provider Physician Assistant · NPI 1447136072

Samantha Shallcross, PHYSICIANASSISTANT is a Physician Assistant in Syracuse, New York. Qualified in 2025, 1 year ago. Practices with Physicians Medical Associates New York PC, a 97-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203
Phone: (315) 448-5111
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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 034442 (NY)

Record details

NPI number1447136072
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Physicians Medical Associates New York Pc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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