Samantha Pabalan, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11007872 Issued in FL

Practice address

2103 Jenks Ave
Panama City, FL 32405-4511

Phone

(850) 763-8000

Fax

(850) 785-1122

NPI assigned

Jul 7, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahassee Orthopedic Clinic III PLGroup PAC ID 4284532755, 538 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242

Merit-based Incentive Payment System (MIPS)

Final score

76.5 of 100Reported as group

Quality

47.27

Promoting interoperability

99

Improvement activities

40

Cost

75.24

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.pabalan.1@18802.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tallahassee Orthopedic Clinic III PL

  • Medical Specialty Clinic/Center
  • Tallahassee, FL
  • NPI 1194778050
  Medicare reassignment Care Compare group NPD
• Tallahassee Orthopedic Clinic III, P.L.

  • Durable Medical Equipment & Medical Supplies
  • Panama City Beach, FL
  • NPI 1497617948
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Hospital, Inc

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1699721589
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1023636008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "850-763-8000",
            "fax_number": "850-785-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "850-763-8000",
            "fax_number": "850-785-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABALAN",
        "first_name": "SAMANTHA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2022-01-25",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bria Nicole Owens, M.S., CCC-SLP
• Jenny Lee Owens, NP
• Michael Thad Owens, PMHNP-BC
• Naomi Owens, RBT
• Sanita Tanette Owens
• Hilary Pacha
• Raymond Dretti Pacheco, LPN/CRT
• Morgan Pachter
• Phillip Howard Pack, RPH
• Mary Victoria Padgett, PHYSICALTHERAPISTRPT

• Nurse Practitioner in Panama City, FL
• Providers in Panama City, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.