Individual provider Active NPI

Samantha Lynn Powers, APRN

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1790397263
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006024 Issued in FL
Practice address
2849 NE 25TH St
Fort Lauderdale, FL 33305-1722
Phone
(678) 735-2704
NPI assigned
Aug 17, 2020
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006024 FL Primary
Primary Care Nurse Practitioner 363LP2300X 11006024 FL

Addresses

Primary practice location

2849 NE 25TH St
Fort Lauderdale, FL 33305-1722

Mailing address

2849 NE 25TH St
Fort Lauderdale, FL 33305-1722
Phone (678) 735-2704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, VA3 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
I20230815000094 FL Practitioner - Nurse Practitioner 5193187706 Reassigns benefits to 1 organization
I20240820004377 DC Practitioner - Nurse Practitioner 5193187706
I20240912003576 VA Practitioner - Nurse Practitioner 5193187706

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Health Center PLLCGroup PAC ID 7810327673, 5 clinicians

Practice addresses (Care Compare)

1011 N State Rd
7 Suite D
Royal Palm Beach, FL 33411-5184
Phone (561) 333-8353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11006024FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Health Center PLLC CurrentSince Mar 3, 2025 Accepting new patients
Nava Health Medical Group, LLC Family PastSince May 20, 2024 Accepting new patients

Locations

1011 N State Road 7
Ste D
Royal Palm Beach, FL 33411
Phone (561) 333-8353

Organizations & group practices 2

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1790397263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 NE 25TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333051722",
            "telephone_number": "678-735-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 NE 25TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333051722",
            "telephone_number": "678-735-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006024",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11006024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.