Individual provider Active NPI

Samantha Kam Patterson, CRNA

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
National Provider Identifier
1073954681
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9171621 Issued in FL
Practice address
4901 Grande Dr
Pensacola, FL 32504-5935
Phone
(850) 477-7042
Fax
(850) 474-9060
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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 ARNP9171621 FL Primary

Addresses

Primary practice location

4901 Grande Dr
Pensacola, FL 32504-5935

Mailing address

4901 Grande Dr
Pensacola, FL 32504-5935
Phone (850) 477-7042

Other names 1

  • Samantha Kam Campus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000534 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183868334 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMR Anesthesia PLLCGroup PAC ID 1052657319, 16 clinicians

Practice addresses (Care Compare)

1851 N 9TH Ave
Suite B
Pensacola, FL 32503-5201
Phone (850) 479-4223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Dec 22, 2019 Accepting new patients
Ams Sacred Heart LLC CurrentSince Dec 1, 2015 Accepting new patients
Gulf Coast Plastic Surgery Center, LLC CurrentSince Jan 1, 2026 Accepting new patients
Beauty Sleep Anesthesia Services, LLC CurrentSince Jan 1, 2026 Accepting new patients
Anesthesiologists Associated PC CurrentSince Dec 22, 2019 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 30, 2019 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2021 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2021 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Nov 30, 2019 Accepting new patients
Ams Anesthetist Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 27, 2013 Accepting new patients
BMR Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2019 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Locations

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

1040 Gulf Breeze Pkwy
Ste 100
Gulf Breeze, FL 32561
Phone (850) 916-8500

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

4585 E Highway 20
Ste 125
Niceville, FL 32578
Phone (850) 426-5191

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

4600 N Davis Hwy
Pensacola, FL 32503
Phone (850) 202-1118

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

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

539 Fontaine St
Pensacola, FL 32503
Phone (850) 476-3223

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

400 10th St E
Waconia, MN 55387

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1073954681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045935",
            "telephone_number": "850-477-7042",
            "fax_number": "850-474-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045935",
            "telephone_number": "850-477-7042",
            "fax_number": "850-474-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SAMANTHA",
        "middle_name": "KAM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9171621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CAMPUS",
            "middle_name": "KAM",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.