Individual provider Active NPI

Samantha Dawn Pate, ARNP

  • Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1720613979
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11003866 Issued in FL
Practice address
272 Forest Park Cir
Panama City, FL 32405
Phone
(850) 273-6131
Fax
(850) 407-5322
NPI assigned
Mar 9, 2020
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 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 11003866 FL Primary

Addresses

Primary practice location

272 Forest Park Cir
Panama City, FL 32405

Mailing address

272 Forest Park Cir
Panama City, FL 32405
Phone (850) 273-6131

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
I20200403001975 FL Practitioner - Nurse Practitioner 4486083961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

272 Forest Park Circle
Panama City, FL 32405-4919
Phone (850) 273-6131

3209 Jenks Ave
Panama City, FL 32405-4216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003866FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Four Pillars Healthcare PLLC CurrentSince Mar 24, 2025 Accepting new patients
April McLemore, Arnp, Healthcare, LLC. CurrentSince Aug 15, 2024 Accepting new patients
Legacy Family Medicine LLC PastSince Mar 11, 2025 Accepting new patients

Locations

272 Forest Park Cir
Panama City, FL 32405
Phone (850) 247-9559

Interoperability endpoints

  • Direct secure messaging: spatefnp@fourpillarshealthcare.kareodirect.com

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, 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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1720613979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 FOREST PARK CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-273-6131",
            "fax_number": "850-407-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 FOREST PARK CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-273-6131",
            "fax_number": "850-407-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "SAMANTHA",
        "middle_name": "DAWN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11003866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.