Individual provider Active NPI

Elvira Samardzic, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1700265840
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 9230853 Issued in FL
Practice address
1 Shircliff Way Ste 625
Jacksonville, FL 32204-4748
Phone
(904) 308-6900
NPI assigned
May 21, 2015
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 9230853 FL Primary

Addresses

Primary practice location

1 Shircliff Way Ste 625
Jacksonville, FL 32204-4748

Mailing address

1 Shircliff Way Ste 625
Jacksonville, FL 32204-4748
Phone (904) 308-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, NH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170623000403 FL Practitioner - Nurse Practitioner 9032487624 Reassigns benefits to 3 organizations
I20190212002654 WI Practitioner - Nurse Practitioner 9032487624 Reassigns benefits to 1 organization
I20250521000731 NH Practitioner - Nurse Practitioner 9032487624 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Hospital IncGroup PAC ID 5799683280, 33 clinicians
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

243 Elm St
Claremont, NH 03743-4921
Phone (603) 542-7771

3 Shircliff Way
Suite 625
Jacksonville, FL 32204-4776
Phone (904) 308-6900

449 W 23Rd St
HCA Florida Gulf Coast Hospital
Panama City, FL 32405-4593
Phone (813) 873-6400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9230853FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Jacksonville CurrentSince Dec 29, 2022 Accepting new patients
Valley Regional Hospital Inc. CurrentSince Dec 15, 2025 Accepting new patients
Monadnock Orthopaedic Associates CurrentSince Feb 16, 2025 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Apr 21, 2019 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Valley Regional Hospital, Inc. CurrentSince Dec 15, 2025 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Apr 21, 2019 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Nov 16, 2024 Accepting new patients
Bruce J Lewis M.D. Current Accepting new patients
Mayo Clinic Jacksonville CurrentSince Dec 29, 2022 Accepting new patients
Monadnock Community Hospital Nurse Practitioner CurrentSince Feb 16, 2025 Accepting new patients
Valley Regional Hospital ,Inc. CurrentSince Dec 15, 2025 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1 Shircliff Way
Ste 625
Jacksonville, FL 32204
Phone (904) 308-6900

2 Shircliff Way
Ste 435
Jacksonville, FL 32204
Phone (904) 308-6900

3 Shircliff Way
Ste 625
Jacksonville, FL 32204
Phone (904) 308-6900

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1658 St Vincents Way
Ste 210
Middleburg, FL 32068
Phone (904) 214-8161

449 W 23rd St
Fl Gulf
Panama City, FL 32405
Phone (813) 873-6400

243 Elm St
Claremont, NH 03743
Phone (603) 542-7771

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Interoperability endpoints

  • Direct secure messaging: elvira.samardzic.1@8967.direct.athenahealth.com
  • Direct secure messaging: vrhesamar@yourcarecommunity.org

Organizations & group practices 14

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.

View all 14

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": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1700265840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHIRCLIFF WAY STE 625",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044748",
            "telephone_number": "904-308-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHIRCLIFF WAY STE 625",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044748",
            "telephone_number": "904-308-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARDZIC",
        "first_name": "ELVIRA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9230853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.