Individual provider Active NPI

Samantha Balansay Symes, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • St Pete Beach, FL
National Provider Identifier
1265388136
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NUR-APRN-LIC-286933 Issued in MT
Practice address
129 46TH Ave Apt 1H
St Pete Beach, FL 33706-2565
Phone
(253) 973-6204
NPI assigned
Mar 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NUR-APRN-LIC-286933 MT Primary

Addresses

Primary practice location

129 46TH Ave Apt 1H
St Pete Beach, FL 33706-2565

Mailing address

129 46TH Ave Apt 1H
St Pete Beach, FL 33706-2565
Phone (253) 973-6204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20260604003758 MT Practitioner - Nurse Practitioner 0143791699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2701

PO Box
Belfast, ME 04915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-286933MTMDPsychiatric/Mental Health Nurse Practitioner

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1265388136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 46TH AVE APT 1H",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337062565",
            "telephone_number": "253-973-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 46TH AVE APT 1H",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337062565",
            "telephone_number": "253-973-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMES",
        "first_name": "SAMANTHA",
        "middle_name": "BALANSAY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-286933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Pete Beach, FL

Sources for this page

Verify at the official NPI Registry.