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Deactivated NPI 1659352649 Deactivated / Inactive NPI Male Practitioner

James Dale Samuelson , PA

Physician Assistant • Minden, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, James Samuelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 08, 2005
NPI Deactivation Date June 14, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

James Samuelson, PA was a registered Physician Assistant practicing in Minden, NV. Throughout an active medical career spanning 18 years, James Samuelson provided care at the practice location at 925 IRONWOOD DR until profile deactivation on 2023-06-14.

Historical Medicare Part B clinical services included established patient outpatient office visit, hemoglobin a1c level. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

925 Ironwood Dr
Suite 25108

Minden, NV 894235178

Telephone 7757823933
Fax 7757838889
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Minden, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Minden, NV (1097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
133 74 $150.05 $61.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
93 65 $220.97 $90.91
83036 Hemoglobin A1C level
20 16 $30.00 $13.05

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NV 493

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Carol Swartz , MD

Family Medicine

NPI 1104890508

Doctor of Medicine (M.D.)

Shelley Wilcox , APN

Nurse Practitioner - Family

NPI 1255603205

Advanced Practice Nurse

Ronna Alcartado , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1790160448

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 14, 2023

Record deactivated on June 14, 2023

NPI Profile Active December 12, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 12, 2011

Registered at 925 IRONWOOD DR, SUITE 25108, MINDEN, NV 894235178 (Tel: 7757823933)

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Updated Business Mailing Address December 12, 2011

Registered at 1520 VIRGINIA RANCH RD, GARDNERVILLE, NV 894105731 (Tel: 7757821550)

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Provider Name / Credentials Updated December 12, 2011

Recorded as JAMES SAMUELSON, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2011

Physician Assistant (License #493 in NV)

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Initial NPI Registration & Enumeration November 08, 2005

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: 1659352649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2005
Last Update: December 12, 2011
Deactivation Date: June 14, 2023

Mailing Address

1520 Virginia Ranch Rd

Gardnerville, NV 894105731

Phone: 7757821550

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.