Individual provider Active NPI

Samantha Marie Miller, PA-C

  • Surgical Physician Assistant
  • Naples, FL
National Provider Identifier
1689244881
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
9117039
Practice address
1285 Creekside Blvd E Unit 102
Naples, FL 34109-0595
Phone
(239) 624-0310
Fax
(239) 624-0311
NPI assigned
Jun 29, 2021
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110008168 VA
Surgical Physician Assistant 363AS0400X 9117039 Primary

Addresses

Primary practice location

1285 Creekside Blvd E Unit 102
Naples, FL 34109-0595

Mailing address

1641 Tamiami TRL Ste 1
Port Charlotte, FL 33948-1018
Phone (941) 629-6262

Other practice location 1

350 Mary St Ste F
Punta Gorda, FL 33950-4564
Phone (941) 639-6699

Other practice location 2

1641 Tamiami Trl Ste 1
Port Charlotte, FL 33948-1018
Phone (941) 629-6262 ext. 109

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518000535 FL Practitioner - Physician Assistant 0446640122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Advanced Physical Therapy and Rehab of Cape Coral LLCGroup PAC ID 1951439660, 64 clinicians

Practice addresses (Care Compare)

11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7000

1402 SE 16TH PL
Cape Coral, FL 33990-3819
Phone (239) 772-2363

2450 Goodlette Rd N
Naples, FL 34103-4595

680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 261-7711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110008168VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Feb 19, 2024 Accepting new patients
Advanced Orthopedic Center of Charlotte County, PA CurrentSince May 22, 2023 Accepting new patients
Nchmd Inc CurrentSince Feb 19, 2024 Accepting new patients

Locations

11190 Health Park Blvd
Bldg 2
Naples, FL 34110
Phone (239) 624-1700

1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1641 Tamiami Trl
Ste 1
Pt Charlotte, FL 33948
Phone (941) 629-6262

350 Mary St
Ste F
Punta Gorda, FL 33950
Phone (941) 629-6262

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: smiller79671@nchhealthcaresystem.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1689244881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 TAMIAMI TRL STE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481018",
            "telephone_number": "941-629-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 CREEKSIDE BLVD E UNIT 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090595",
            "telephone_number": "239-624-0310",
            "fax_number": "239-624-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Mary St Ste F",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339504564",
            "country_code": "US",
            "telephone_number": "941-639-6699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1641 Tamiami Trl Ste 1",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339481018",
            "country_code": "US",
            "telephone_number": "941-629-6262 x109",
            "fax_number": "941-629-1782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008168",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": "9117039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.