NPIMap

Individual provider Active NPI

Samantha Elizabeth Davis, FNP-C

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1346361599
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0990952-NP Issued in CO
Practice address
4674 Snow Mesa Dr Ste 140
Fort Collins, CO 80528-8614
Phone
(970) 225-5000
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0990952-NP CO
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 16533 CA
Family Nurse Practitioner 363LF0000X APN.0990952-NP CO Primary

Addresses

Primary practice location

4674 Snow Mesa Dr Ste 140
Fort Collins, CO 80528-8614

Mailing address

6004 Tahoe CT
Loveland, CO 80538-1843
Phone (559) 908-0929

Other identifiers 2

IdentifierTypeStateIssuer
RN.0123450OtherCOREGISTERED NURSE
APN.0990952-NPOtherCONURSE PRACTITIONER-APN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140508000995 CO Practitioner - Nurse Practitioner 9234218454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bender Medical Group IncGroup PAC ID 6204725575, 7 clinicians

Practice addresses (Care Compare)

313 W Drake Rd
Suite 100
Fort Collins, CO 80526-2866
Phone (970) 482-8881

4674 Snow Mesa Dr
Suite 140
Fort Collins, CO 80528-8614
Phone (970) 225-5107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16533CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bender Medical Group Inc CurrentSince Mar 25, 2014 Accepting new patients
Family Physical Therapy Center, P.C. Past Accepting new patients

Locations

313 W Drake Rd
Ste 100
Fort Collins, CO 80526
Phone (970) 225-5028

4674 Snow Mesa Dr
Ste 140
Fort Collins, CO 80528
Phone (970) 225-5000

3850 Grant Ave
Ste 100
Loveland, CO 80538
Phone (970) 669-5717

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 and National Provider Directory roles.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1346361599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 TAHOE CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805381843",
            "telephone_number": "559-908-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 SNOW MESA DR STE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288614",
            "telephone_number": "970-225-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0990952-NP",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "16533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0990952-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN.0123450",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER-APN",
            "identifier": "APN.0990952-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.