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

Samuel Taibi, PA-C

Individual provider Physician Assistant · NPI 1578121810

Samuel Taibi, PA-C is a Physician Assistant in Fort Collins, Colorado. Qualified in 2019, 7 years ago. Practices with Summitstone Health Partners, a 113-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2019
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

4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone: (970) 494-4200
Fax: (844) 270-1824
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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 PA.0005949 (CO)

Record details

NPI number1578121810
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 2, 2019
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address4856 Innovation Dr, Fort Collins, CO 80525-5539

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Summitstone Health Partners — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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