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

Individual provider Physician Assistant · NPI 1861701799

Samantha Sheggrud, PA is a Physician Assistant in Fulton, New York. Qualified in 2010, 16 years ago. Practices with Port City Emergency Physicians LLP, a 48-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

522 S 4th St Ste 500
Fulton, NY 13069-2936
Phone: (315) 598-4790
Fax: (315) 598-4733
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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 014301 (NY)

Record details

NPI number1861701799
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2010
Last updated in NPPESAugust 3, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Port City Emergency Physicians Llp — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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