Individual provider Active NPI

Samantha Dean Brilmyer, APRN

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1184489262
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11031279 Issued in FL
Practice address
2106 S Lois Ave
Tampa, FL 33629-5659
Phone
(813) 844-4200
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11031279 FL Primary

Addresses

Primary practice location

2106 S Lois Ave
Tampa, FL 33629-5659

Mailing address

6279 Roadstead CT
Apollo Beach, FL 33572-2238
Phone (219) 577-3846

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
I20240306002618 FL Practitioner - Nurse Practitioner 6709222383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

2501 W Kennedy Blvd
Tampa, FL 33609-3305
Phone (813) 844-0344

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11031279FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Tampa General Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

2501 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 844-0344

5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100

Organizations & group practices 4

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 1

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": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1184489262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6279 ROADSTEAD CT",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722238",
            "telephone_number": "219-577-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 S LOIS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295659",
            "telephone_number": "813-844-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILMYER",
        "first_name": "SAMANTHA",
        "middle_name": "DEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11031279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.