Individual provider Active NPI

Samantha Marie Hoskins, AGNP-C

  • Gerontology Nurse Practitioner
  • Nampa, ID
National Provider Identifier
1265134985
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
55732 Issued in ID
Practice address
4301 Garrity Blvd Ste 103
Nampa, ID 83687-9222
Phone
(855) 434-7763
NPI assigned
Mar 17, 2023
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 55732 ID Primary

Addresses

Primary practice location

4301 Garrity Blvd Ste 103
Nampa, ID 83687-9222

Mailing address

4301 Garrity Blvd Ste 103
Nampa, ID 83687-9222
Phone (855) 434-7763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20230807003692 ID Practitioner - Nurse Practitioner 5294196267 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Doc Idaho PCGroup PAC ID 0648689174, 11 clinicians

Practice addresses (Care Compare)

4301 Garrity Blvd
Suite 103
Nampa, ID 83687-9222
Phone (855) 434-7763

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55732IDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc CurrentSince Jun 15, 2024 Accepting new patients
Senior Doc Id Medical, PC CurrentSince Aug 1, 2024 Accepting new patients
Senior Doc Idaho PC CurrentSince Oct 9, 2023 Accepting new patients

Locations

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

4301 Garrity Blvd
Ste 103
Nampa, ID 83687
Phone (208) 463-0700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1265134985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GARRITY BLVD STE 103",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879222",
            "telephone_number": "855-434-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GARRITY BLVD STE 103",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879222",
            "telephone_number": "855-434-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSKINS",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ID",
            "license": "55732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.