Active NPI
Samantha Kelly Coates, APRN
- Family Nurse Practitioner
- Dunedin, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11015810
- Practice address
- 646 Virginia St Ste 601
Dunedin, FL 34698-6612 - Phone
- (727) 736-3212
- Fax
- (813) 635-2635
- NPI assigned
- Oct 21, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11015810 | FL | Primary |
Addresses
Primary practice location
646 Virginia St Ste 601
Dunedin, FL 34698-6612
Mailing address
646 Virginia St Ste 601
Dunedin, FL 34698-6612
Phone (727) 736-3212
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | samantha.coatesaprn@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220310002408 | FL | Practitioner - Nurse Practitioner | 5294120184 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Florida College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Baycare Medical Group, Inc.
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
646 Virginia St
Dunedin, FL 34698-6612
Hospital & facility affiliations
- Baycare Home Care Inc
- Morton Plant Hospital
- Mease Dunedin Hospital
- Mease Countryside Hospital
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
646 Virginia St
Ste 204
Dunedin, FL 34698
Phone (727) 734-9494
646 Virginia St
Ste 601
Dunedin, FL 34698
Phone (727) 736-3212
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
630 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 345-7100
Interoperability endpoints
- samantha.coatesaprn@direct.mybaycare.org
Organizations & group practices 3
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
FL, Nurse Practitioner
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dunedin, FL
- NPI 1972501252
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722124800000",
"number": "1508529959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 VIRGINIA ST STE 601",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346986612",
"telephone_number": "727-736-3212",
"fax_number": "813-635-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 VIRGINIA ST STE 601",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346986612",
"telephone_number": "727-736-3212",
"fax_number": "813-635-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "SAMANTHA",
"middle_name": "KELLY",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2024-07-28",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11015810",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "samantha.coatesaprn@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dunedin, FL
- Coastal Cardiology, PA
- Coastal Chiropractic Palm Harbor LLC
- Coastal Chiropractic Tampa Bay LLC
- Coastal Pinellas Behavioral Health
- Coastline Emergency Physicians LLC
- Stephanie R. Coates, O.D.
- Joseph Michael Coccaro, DMD
- C Bruce Cochrane, MD
- Lynn Mary Colucci, DC
- Comfortable Care Dental Health Professionals, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.