Samia Akkouche, APRN, AGNP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Fort Myers, FL
NPI 1316533367 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1316533367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- APRN11010446 (FL)
- Practice address
- 16271 Bass Rd
Fort Myers, FL 33908-3616 - Phone
- (239) 343-7100
- Fax
- (239) 468-7924
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lee Health System Inc
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
16271 Bass Rd
Fort Myers, FL 33908-3616
Phone (239) 432-3322
Hospital & facility affiliations
- Trilogy Home Healthcare
- Lee Memorial Hospital
- Cape Coral Hospital
- Gulf Coast Medical Center Lee Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210729003661 | FL | Practitioner - Nurse Practitioner | 3173926078 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11010446 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Memorial Health System | Current |
Accepting new patients | |
| Gulf Coast Healthcare Systems, Inc | Current |
Accepting new patients | |
| Chma of FL, PLLC | Adult Health | Current |
Accepting new patients |
| Lee Memorial Health System | Current |
Accepting new patients | |
| Lee Health System Inc | Current |
Accepting new patients | |
| Gulf Coast Healthcare Systems Inc | Current |
Accepting new patients | |
| Lee Health System Inc | Current |
Accepting new patients |
Locations
2875 NE 191st St
Ste 500
Aventura, FL 33180
Phone (305) 741-5628
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
16271 Bass Rd
Fort Myers, FL 33908
Phone (239) 343-7100
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
2724 5th St W
Ste Bc
Lehigh Acres, FL 33971
Phone (239) 303-9298
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
Interoperability endpoints
- sakkouche360762@direct.leememorial.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11010446 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN11010446 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11010446 | FL | Yes |
Addresses
Primary practice location
16271 Bass Rd
Fort Myers, FL 33908-3616
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111565700 | Medicaid | FL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sakkouche360762@Direct.leememorial.org | Direct | Lee Memorial Health System |
Other providers in Fort Myers, FL
- Heitham Kamel Ajlouni
- Miriam Ajo
- Akay Holding
- Pamela Terilli Akers
- Temitope Akinyemi
- Ramez Al Hebshi
- Abdallah Al Moussa
- Samarah A Al-Jamali
- Camila Alacron
- Iffat Alam
All providers in Fort Myers, FL · Adult Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.