Samantha Jackson, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11021020 Issued in FL

Practice address

7972 N Oberon Ter
Citrus Springs, FL 34434-6664

Phone

(352) 857-7418

NPI assigned

Aug 10, 2022

Last updated

Aug 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Project Health IncGroup PAC ID 0446153399, 34 clinicians

Mohammed a Hossain MD, LLCGroup PAC ID 9436490570, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
• Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mohammed a Hossain MD, LLC

  • Nephrology Physician
  • Lady Lake, FL
  • NPI 1952872483
  Medicare reassignment Care Compare group NPD
• Project Health Inc

  dba Langley Health Services

  • Federally Qualified Health Center (FQHC)
  • Sumterville, FL
  • NPI 1437180239
  Medicare reassignment Care Compare group NPD
• Recover Together, Inc.

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • London, KY
  • NPI 1346736758

  FL, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• John Robert Hamill, Jr. M.D.P.a.

  dba Gulf Coast Dermatology

  • Specialist
  • Hudson, FL
  • NPI 1720173032
  NPD
• Project Health Inc

  dba Langley Health Services - Homosassa

  • Federally Qualified Health Center (FQHC)
  • Homosassa, FL
  • NPI 1972767481
  NPD
• Project Health Inc.

  dba Langley Health Services

  • Private Vehicle
  • Sumterville, FL
  • NPI 1184122517
  NPD
• Project Health Inc

  dba Langley Health Services

  • Physiological Laboratory
  • Sumterville, FL
  • NPI 1750503322
  NPD (past)

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

• Leesburg Regional Medical Center Inc

  dba Uf Health Emergency/Urgent Care Eustis Mt. Dora

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1245001189

  Hospital

  Care Compare affiliation
• Leesburg Regional Medical Center Inc

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1245226190
  Care Compare affiliation
• LRMC Urgent Care Center

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1598841389

  Hospital

  Care Compare affiliation
• Villages Tri-County Medical Center Inc.

  dba UF Health Spanish Plaines Hospital

  • General Acute Care Hospital
  • The Villages, FL
  • NPI 1740276518
  Care Compare affiliation

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1366170102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7972 N OBERON TER",
            "city": "CITRUS SPRINGS",
            "state": "FL",
            "postal_code": "344346664",
            "telephone_number": "352-857-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7972 N OBERON TER",
            "city": "CITRUS SPRINGS",
            "state": "FL",
            "postal_code": "344346664",
            "telephone_number": "352-857-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SAMANTHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11021020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GC & KC Holdings I, LLC (Life and Love ALF II)
• Teresa Lynn Geer, LMT
• David Christian Gutierrez
• Ruby Lee Heine
• Randy Ho, DPT
• Jocelyn Lu DMD Dental, PLLC (Citrus Springs Dental Care)
• Tina Johnson, LMHC
• Krysta Jurgensen
• Cathleen M. Kelley-Weidemann, A.R.N.P.
• Korren King, RN

• Nurse Practitioner in Citrus Springs, FL
• Providers in Citrus Springs, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.

Verify at the official NPI Registry.