Individual provider Active NPI

Samantha Rene Pickrell, APRN

  • Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1295377224
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11004061 Issued in FL
Practice address
3347 Star Road 7
Suite 200a
Wellington, FL 33449
Phone
(561) 223-1966
NPI assigned
Oct 10, 2019
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11004061 FL Primary
Registered Nurse 163W00000X 9408685 FL

Addresses

Primary practice location

3347 Star Road 7
Suite 200a
Wellington, FL 33449

Mailing address

3347 Star Road 7
Suite 200a
Wellington, FL 33449
Phone (561) 223-1966

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
I20200323000715 FL Practitioner - Nurse Practitioner 0547698722 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9408685FLMDRegistered Nurse
11004061FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Resources, LLC CurrentSince Apr 1, 2022 Accepting new patients
Nelson Lopez MD PA Past Accepting new patients

Locations

1447 Medical Park Blvd
Ste 205
Wellington, FL 33414
Phone (561) 234-6599

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25802/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samantha.pickrell.1@25802.direct.athenahealth.com

Organizations & group practices 2

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1295377224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 STAR ROAD 7",
            "address_2": "SUITE 200A",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33449",
            "telephone_number": "561-223-1966",
            "fax_number": "561-734-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 STAR ROAD 7",
            "address_2": "SUITE 200A",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33449",
            "telephone_number": "561-223-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKRELL",
        "first_name": "SAMANTHA",
        "middle_name": "RENE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11004061",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9408685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.