Individual provider Active NPI

Kufre Ignatius Samuel, APRN,CNM, WHNP-BC

  • Advanced Practice Midwife
  • Orange City, FL
National Provider Identifier
1215887252
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11044994 Issued in FL
Practice address
1061 Medical Center Dr Ste 102
Orange City, FL 32763-8225
Phone
(386) 456-3852
NPI assigned
Jan 29, 2026
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11044994 FL Primary

Addresses

Primary practice location

1061 Medical Center Dr Ste 102
Orange City, FL 32763-8225

Mailing address

157 Dover St
Providence, RI 02908-3931
Phone (401) 559-4297

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260309002553 FL Practitioner - Certified Nurse Midwife (CNM) 8022591080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1061 Medical Ctr Dr
Suite 102
Orange City, FL 32763

137 Thistleton Way
St Augustine, FL 32092-3281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11044994FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Health FL P.a. Advanced Practice Midwife CurrentSince Mar 3, 2026 Accepting new patients

Locations

1061 Medical Center Dr
Ste 102
Orange City, FL 32763
Phone (386) 456-3852

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1215887252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 DOVER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083931",
            "telephone_number": "401-559-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 MEDICAL CENTER DR STE 102",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638225",
            "telephone_number": "386-456-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "KUFRE",
        "middle_name": "IGNATIUS",
        "credential": "APRN,CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11044994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.