Samantha Jackson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11032487 Issued in FL

Practice address

5051 SE 110TH St
Belleview, FL 34420-3115

Phone

(352) 732-6599

NPI assigned

May 3, 2024

Last updated

Aug 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elyaman Medical Services PAGroup PAC ID 4284923467, 19 clinicians

Heart of Florida Health Center, IncGroup PAC ID 1355410838, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Heart of Florida Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1710923727
  Medicare reassignment Care Compare group NPD
• Elyaman Medical Services PA

  dba Absolute Elder Care

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1609251685
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1922855295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 SE 110TH ST",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203115",
            "telephone_number": "352-732-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 SE 110TH ST",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203115",
            "telephone_number": "352-732-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11032487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Hughes
• Shyann Ashlee Hunter
• Shirley A Ice, MD
• Joselyn Catalina Izaguirre
• Patricia A Jackson
• Andrew Jenkins
• Judive Jocelyn, D.O
• Kyra Johnson, RBT
• Kara Marie Jones
• Joseph C Hildner MD Inc (Family Doctors of Belleview)

• Nurse Practitioner in Belleview, FL
• Providers in Belleview, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.