Individual provider Active NPI

Samantha Lynn Matthews, APRN

  • Family Nurse Practitioner
  • Bridgeport, CT
National Provider Identifier
1679164016
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015169 Issued in KY
Practice address
471 Barnum Ave
Bridgeport, CT 06608-2409
Phone
(203) 333-3030
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3015169 KY Primary
Family Nurse Practitioner 363LF0000X 15460 CT
Family Nurse Practitioner 363LF0000X 1203369 TX

Addresses

Primary practice location

471 Barnum Ave
Bridgeport, CT 06608-2409

Mailing address

471 Barnum Ave
Bridgeport, CT 06608-2409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, CA, TX, CT, OH5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210216000795 KY Practitioner - Nurse Practitioner 7315352838 Reassigns benefits to 4 organizations
I20250508001994 CA Practitioner - Nurse Practitioner 7315352838 Reassigns benefits to 2 organizations
I20250618004181 TX Practitioner - Nurse Practitioner 7315352838 Reassigns benefits to 1 organization
I20251023002972 CT Practitioner - Nurse Practitioner 7315352838 Reassigns benefits to 1 organization
I20260130002696 OH Practitioner - Nurse Practitioner 7315352838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1922 Lakewood Dr
Elizabethtown, KY 42701-5525

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15460CTMDFamily Nurse Practitioner
3015169KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC CurrentSince Jan 15, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Molina Healthcare of California CurrentSince Apr 30, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Molina Care Connections, LLC. CurrentSince Nov 4, 2024 Accepting new patients
Brock Medical, LLC CurrentSince Jan 15, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Apr 30, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752

110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409

96 Future Dr
Corbin, KY 40701

100 Helmwood Plaza Dr
Elizabethtown, KY 42701
Phone (270) 765-6242

2411 Ring Rd
Ste 114
Elizabethtown, KY 42701
Phone (270) 706-1925

1111 Ring Rd
Elizabethtown, KY 42701
Phone (270) 706-1111

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

340 Highway 44 E
Shepherdsville, KY 40165
Phone (502) 215-8422

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (855) 322-4080

Interoperability endpoints

  • Direct secure messaging: smatthews17429@direct-prd.molinahealthcare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1679164016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 BARNUM AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066082409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 BARNUM AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066082409",
            "telephone_number": "203-333-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015169",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "15460",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1203369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.