Individual provider Active NPI

Samantha Shannon Deland, NP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1811549769
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038257 Issued in FL
Practice address
3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone
(813) 925-1903
Fax
(813) 749-8370
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 344754 NY
Family Nurse Practitioner 363LF0000X APRN11038257 FL Primary

Addresses

Primary practice location

3301 W Gandy Blvd
Tampa, FL 33611-2931

Mailing address

5034 Rocky Coast PL
Palmetto, FL 34221-1490
Phone (901) 606-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200922002737 NY Practitioner - Nurse Practitioner 3971833146 Reassigns benefits to 7 organizations
I20250717004318 FL Practitioner - Nurse Practitioner 3971833146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5504 Gateway Blvd
Wesley Chapel, FL 33544-1900
Phone (813) 925-1903

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center CurrentSince May 1, 2024 Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
U of R Neurology Department CurrentSince Mar 1, 2022 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jul 14, 2025 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince May 1, 2024 Accepting new patients
University of Rochester CurrentSince Mar 1, 2022 Accepting new patients
Acute Care Trauma of the University of Rochester CurrentSince Aug 1, 2020 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jul 14, 2025 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Rochester General Hospital CurrentSince May 1, 2024 Accepting new patients
University of Rochester CurrentSince Mar 1, 2022 Accepting new patients
Rochester General Hospital CurrentSince May 1, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince May 1, 2025 Accepting new patients
Clifton Springs Sanitarium Company Past Accepting new patients

Locations

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

81 Lake Ave
Fl 2
Rochester, NY 14608
Phone (585) 368-6900

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • Direct secure messaging: mmannellino183084@direct.urmc.rochester.edu

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1811549769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 ROCKY COAST PL",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211490",
            "telephone_number": "901-606-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W GANDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112931",
            "telephone_number": "813-925-1903",
            "fax_number": "813-749-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAND",
        "first_name": "SAMANTHA",
        "middle_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344754",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.