Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255005211 Individual Practitioner Female Practitioner

Samantha Kempkiewicz , PA-C

Physician Assistant • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samantha Kempkiewicz, PA-C is a certified Physician Assistant practicing in Chicago, IL. With approximately 5 years of clinical experience since completing medical education in 2021, Samantha Kempkiewicz delivers high-quality medical care to the local community at 1969 W OGDEN AVE.

Samantha Kempkiewicz is affiliated with Cook County and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1969 W Ogden Ave
Clinic A

Chicago, IL 606123765

Telephone 3128647900
Fax 3128649314
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chicago, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -2.8 yrs vs City Avg
City Avg: 7.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1451 Specialists

Practicing in Chicago, IL (4958 Statewide)

Telehealth Adoption Rate
17.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kempkiewicz (5 Years) 5 Yrs
Chicago Specialty Average (7.8 Years) 7.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
73 41 $252.42 $87.05

Medical Specialties & State Licenses

CMS Verified: 2023-05-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.008740

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Cook County

500 E 51st St, Chicago, IL 606152494

Phone: 3125722000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Leslie Fenio , PA-C

Physician Assistant

NPI 1033709951

Physician Assistant (Certified)

Roji Valiathara , APN

Nurse Practitioner - Family

NPI 1871030650

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 22, 2023

Registered at 1969 W OGDEN AVE, CLINIC A, CHICAGO, IL 606123765 (Tel: 3128647900)

📍
Updated Business Mailing Address May 22, 2023

Registered at 1969 W. OGDEN AVE, CLINIC A, CHICAGO, IL 606123765 (Tel: 3128647900)

📍
Updated Practice Location October 03, 2022

Registered at 1969 W OGDEN AVE, CHICAGO, IL 606123765 (Tel: 3128646000)

📍
Updated Practice Location December 06, 2021

Registered at 555 31ST ST, DOWNERS GROVE, IL 605151235 (Tel: 6309716080)

👤
Provider Name / Credentials Updated December 06, 2021

Recorded as SAMANTHA KEMPKIEWICZ, PA-C

NPI Profile Active August 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2021

Registered at 943 N ROHLWING RD APT 101G, ADDISON, IL 601011069 (Tel: 7739837686)

📍
Updated Business Mailing Address August 03, 2021

Registered at 943 N ROHLWING RD APT 101G, ADDISON, IL 601011069 (Tel: 7739837686)

👤
Provider Name / Credentials Updated August 03, 2021

Recorded as SAMANTHA KEMPKIEWICZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255005211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2021
Last Update: May 22, 2023
Sole Proprietor: Yes

Mailing Address

1969 W. Ogden Ave, Clinic A

Chicago, IL 606123765

Phone: 3128647900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.