Samantha Nicole Kreisle, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9335956 Issued in FL

Practice address

11707 N Williams St
Dunnellon, FL 34432-5855

Phone

(352) 465-1919

NPI assigned

Feb 7, 2018

Last updated

Feb 7, 2018By 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Deven Medical Enterprises, PLLC

  dba Deven Medical Center

  • Internal Medicine Physician
  • Dunnellon, FL
  • NPI 1073325551
  NPD (past)

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1649779430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S BROOKFIELD DR",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 N WILLIAMS ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344325855",
            "telephone_number": "352-465-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISLE",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9335956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidney Care of Dunnellon LLC
• Trisha Kimball
• Miriam Koshy, DMD
• Alison Faye Koskos
• Amanda Jill Kozinko
• L.a. Oliverio,MD Enterprises, Inc.
• Amanda Lange
• Carla May Lemker, NP
• Denise McHugh Loggie, LCSW
• Caitlyn Loos, LMT

• Family Nurse Practitioner in Dunnellon, FL
• Providers in Dunnellon, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.

Verify at the official NPI Registry.