Individual provider Active NPI

Dechone Samuels, NP

  • Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1083104335
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9403675 Issued in FL
Practice address
2145 Noll Dr
Lancaster, PA 17603-7600
Phone
(717) 397-4921
Fax
(717) 397-7170
NPI assigned
May 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9403675 FL Primary
Nurse Practitioner 363L00000X SP018858 PA

Addresses

Primary practice location

2145 Noll Dr
Lancaster, PA 17603-7600

Mailing address

6108 Marta Dr
Tampa, FL 33617-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190305000677 FL Practitioner - Nurse Practitioner 8426397738 Reassigns benefits to 2 organizations
I20200227002531 PA Practitioner - Nurse Practitioner 8426397738 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Regional Physicians Nurse Practitioner CurrentSince Jan 28, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 1, 2021 Accepting new patients
Rmed LLC CurrentSince Aug 1, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 1, 2021 Accepting new patients
At Your Door Visiting Healthcare Services, LLC CurrentSince Sep 28, 2022 Accepting new patients
Rmed LLC CurrentSince Aug 1, 2023 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jan 28, 2020 Accepting new patients
Health First Medical Center PastSince Mar 20, 2019 Accepting new patients

Locations

36033 Emeralda Ave
#M6
Leesburg, FL 34788

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2145 Noll Dr
Lancaster, PA 17603
Phone (717) 207-4800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1083104335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 MARTA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 NOLL DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037600",
            "telephone_number": "717-397-4921",
            "fax_number": "717-397-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "DECHONE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-12",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9403675",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.