Active NPI
Samantha Nicole Simon, FNP-BC
- Family Nurse Practitioner
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11025072
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11025072 | FL | MD | Family Nurse Practitioner |
| APRN04108 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifemd Southern Patient Medical Care PC | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Lifemd Midwest Patient Medical Care PC | Current | Accepting new patients | |
| Lifemd Atlantic Patient Medical Care PC | Current | Accepting new patients | |
| New York Patient Medical Care PC | Current | Accepting new patients | |
| Welltrackone Corporation | Current | Accepting new patients | |
| Openloop Healthcare Partners PC | Current | Accepting new patients | |
| Lifemd New England Patient Medical Care PA | Current | Accepting new patients | |
| Lifemd South Central Patient Medical Care PA | Current | Accepting new patients | |
| David R Simon MD PHD PA | Past | 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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Clinic/Center
- Orlando, FL
- NPI 1417635921
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1376305847
FL
-
- Specialist
- Hilton Head Island, SC
- NPI 1770367468
-
- Ophthalmology Physician
- Plantation, FL
- NPI 1154585016
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.