Individual provider Active NPI

Samantha Denise Austin, ARPN

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1093196800
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9326665 Issued in FL
Practice address
5308 W Irlo Bronson Hwy
Kissimmee, FL 34746-4754
Phone
(407) 390-9431
Fax
(407) 841-5705
NPI assigned
Jun 17, 2015
Reactivated
Oct 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9326665 FL Primary

Addresses

Primary practice location

5308 W Irlo Bronson Hwy
Kissimmee, FL 34746-4754

Mailing address

5308 W Irlo Bronson Hwy
Kissimmee, FL 34746-4754
Phone (407) 390-9431

Other practice location 1

7940 Via Dellagio Way Ste 142
Orlando, FL 32819-5400
Phone (407) 841-2100

Other identifiers 1

IdentifierTypeStateIssuer
APRN9326665OtherFLFL MEDICAL LICENSE

Other names 1

  • Ms. Samantha Denise Brown Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190501003195 FL Practitioner - Nurse Practitioner 6305188830 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

7015 Red Bug Lake Rd
Oviedo, FL 32765-5056
Phone (407) 542-4908

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as group
Quality
77.92
Promoting interoperability
99
Improvement activities
40
Cost
79.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9326665FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince May 1, 2021 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Sep 29, 2022 Accepting new patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Sep 29, 2022 Accepting new patients
Orlando Hand Surgery Associates PA CurrentSince Apr 15, 2019 Accepting new patients
Rothman Orthopaedics of Florida,PLLC CurrentSince May 1, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 1, 2021 Accepting new patients
Rothman Orthopaedics of Florida,PLLC CurrentSince May 1, 2021 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

7940 Via Dellagio Way
Ste 142
Orlando, FL 32819
Phone (407) 413-5998

801 N Orange Ave
Ste 600
Orlando, FL 32801

255 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 647-6070

255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

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 3

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1093196800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 W IRLO BRONSON HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464754",
            "telephone_number": "407-390-9431",
            "fax_number": "407-841-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 W IRLO BRONSON HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464754",
            "telephone_number": "407-390-9431",
            "fax_number": "407-841-5705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7940 Via Dellagio Way Ste 142",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328195400",
            "country_code": "US",
            "telephone_number": "407-841-2100",
            "fax_number": "407-841-5705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "SAMANTHA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "ARPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "deactivation_date": "2018-07-25",
        "reactivation_date": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9326665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSE",
            "identifier": "APRN9326665",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BROWN",
            "middle_name": "DENISE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.