Individual provider Active NPI

Samantha Hite

  • Certified Registered Nurse Anesthetist
  • Fort Walton Beach, FL
National Provider Identifier
1063910453
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9352502 Issued in FL
Practice address
1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone
(850) 862-1111
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9352502 FL Primary

Addresses

Primary practice location

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Mailing address

353 Lisette CT
Fort Walton Beach, FL 32547-2639
Phone (678) 643-5413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MT, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180312001336 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537420427 Reassigns benefits to 7 organizations
I20230419002955 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537420427 Reassigns benefits to 1 organization
I20250428000090 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537420427

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Ams of Crestview LLCGroup PAC ID 5890944292, 22 clinicians
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians

Practice addresses (Care Compare)

1225 Airport Rd
Destin, FL 32541-2909
Phone (850) 650-7690

151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 689-8100

8300 Collier Blvd
Naples, FL 34114-3549
Phone (239) 354-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9352502FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corp CurrentSince Dec 21, 2022 Accepting new patients
Destin Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 14, 2022 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Dec 21, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2024 Accepting new patients
Ams of Crestview LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 30, 2024 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Ams Anesthetist Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 29, 2018 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

1225 Airport Rd
Destin, FL 32541
Phone (850) 650-7606

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

1034 Mar Walt Dr
Unit 300
Ft Walton Bch, FL 32547
Phone (850) 315-9363

995 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-7887

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1063910453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 LISETTE CT",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472639",
            "telephone_number": "678-643-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-862-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9352502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.