Individual provider Active NPI

Samantha Nicole Simon, FNP-BC

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1316647597
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025072 Issued in FL
Practice address
201 N University Dr Ste 106
Plantation, FL 33324-2039
Phone
(544) 722-0119
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN04108 RI
Family Nurse Practitioner 363LF0000X 11025072 FL Primary

Addresses

Primary practice location

201 N University Dr Ste 106
Plantation, FL 33324-2039

Mailing address

201 N University Dr Ste 106
Plantation, FL 33324-2039
Phone (954) 472-2011

Other practice location 1

10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (401) 240-1385

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
I20240826000412 FL Practitioner - Nurse Practitioner 9335467323 Reassigns benefits to 10 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11025072FLMDFamily Nurse Practitioner
APRN04108RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifemd Southern Patient Medical Care PC CurrentSince Aug 25, 2025 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Aug 22, 2024 Accepting new patients
Lifemd Midwest Patient Medical Care PC CurrentSince Sep 9, 2025 Accepting new patients
Lifemd Atlantic Patient Medical Care PC CurrentSince Sep 9, 2025 Accepting new patients
New York Patient Medical Care PC CurrentSince Sep 9, 2025 Accepting new patients
Welltrackone Corporation CurrentSince Jun 1, 2025 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Jun 1, 2025 Accepting new patients
Lifemd New England Patient Medical Care PA CurrentSince Sep 9, 2025 Accepting new patients
Lifemd South Central Patient Medical Care PA CurrentSince Sep 9, 2025 Accepting new patients
David R Simon MD PHD PA PastSince Mar 10, 2015 Accepting new patients
Puopolo MD PC Past Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients

Locations (25 of 39)

9360 Glacier Hwy
Ste 202
Juneau, AK 99801
Phone (703) 722-6955

12100 Wilshire Blvd
Ste 800
Los Angeles, CA 90025
Phone (310) 383-6610

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

500 Ala Moana Blvd
Ste 7
Honolulu, HI 96813

500 Ala Moana Blvd
Ste 400
Honolulu, HI 96813
Phone (808) 427-6522

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

875 N Michigan Ave
Fl 31
Chicago, IL 60611
Phone (312) 794-7730

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

801 E Douglas Ave
Wichita, KS 67202
Phone (316) 217-2984

35 Village Rd
Ste 100
Middleton, MA 01949
Phone (978) 222-3131

16701 Melford Blvd
Bowie, MD 20715
Phone (240) 266-5889

128 State St
#3
Augusta, ME 04330

121 Washington Ave N
Fl 32
Minneapolis, MN 55401

170 Commerce Way
Ste 2003113
Portsmouth, NH 03801

101 Hudson St
Fl 21
Jersey City, NJ 07302
Phone (201) 706-7135

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

236 5th Ave
Fl 4
New York, NY 10001
Phone (212) 686-0587

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1316647597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY DR STE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242039",
            "telephone_number": "954-472-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY DR STE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242039",
            "telephone_number": "544-722-0119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Dorrance St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032014",
            "country_code": "US",
            "telephone_number": "401-240-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN04108",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.