Active NPI
Samantha Gloria Byrne, APRN
- Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11030596
- Practice address
- 2200 W Eau Gallie Blvd Ste 200
Melbourne, FL 32935-3166 - Phone
- (321) 255-1500
- Fax
- (321) 254-0400
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11030596 | FL | Primary |
Addresses
Primary practice location
2200 W Eau Gallie Blvd Ste 200
Melbourne, FL 32935-3166
Mailing address
PO Box 361095
Melbourne, FL 32936-1095
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 S Harbor Blvd
Suite 232
Melbourne, FL 32901-3805
Phone (321) 216-2288
Hospital & facility affiliations
- HCA Florida Healthcare at Home
- Activa Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Care Medical Centers LLC | Current | Accepting new patients | |
| Florida Health Care of Brevard | Current | Accepting new patients | |
| Practitioners in Motion PLLC | Current | Accepting new patients | |
| Medical Associates of Brevard LLC | Current | Accepting new patients |
Locations
8200 S Jog Rd
Ste 205
Boynton Beach, FL 33472
Phone (561) 364-9584
2200 W Eau Gallie Blvd
Ste 200
Melbourne, FL 32935
Phone (321) 255-1500
1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500
1785 Waverly Pl
Ste A
Melbourne, FL 32901
Phone (321) 216-2288
1840 Eldron Blvd SE
Ste 2
Palm Bay, FL 32909
Phone (561) 523-3973
3745 11th Cir
Ste 109
Vero Beach, FL 32960
Phone (321) 848-8889
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.
-
- Primary Care Clinic/Center
- West Melbourne, FL
- NPI 1447637582
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1861400103
-
- Internal Medicine Physician
- Boynton Beach, FL
- NPI 1285212050
-
- Primary Care Clinic/Center
- Palm Bay, FL
- NPI 1598323461
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vero Beach, FL
- NPI 1649548777
-
- Home Health Agency
- Stuart, FL
- NPI 1770559718
-
- Home Health Agency
- Fort Pierce, FL
- NPI 1922083666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1295506764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361095",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329361095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W EAU GALLIE BLVD STE 200",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329353166",
"telephone_number": "321-255-1500",
"fax_number": "321-254-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "SAMANTHA",
"middle_name": "GLORIA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11030596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.