Individual provider Active NPI

Samantha Avla Blue, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1942729090
Registry record updated Sep 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9487688 Issued in FL
Practice address
15415 Panama City Beach Pkwy
Panama City Beach, FL 32413-5409
Phone
(850) 583-9747
NPI assigned
Sep 10, 2017
Last updated
Sep 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 26NR14129300 NJ
Family Nurse Practitioner 363LF0000X APRN9487688 FL Primary

Addresses

Primary practice location

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413-5409

Mailing address

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413-5409
Phone (850) 588-3589

Other practice location 1

308 W Route 38
Moorestown, NJ 08057-3212
Phone (856) 722-9333

Other practice location 2

949 Jenks Ave Ste 6
Panama City, FL 32401-2584
Phone (904) 853-0809

Other names 1

  • Samantha A Blue Other name

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
I20190208002849 FL Practitioner - Nurse Practitioner 9931447307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Florida, LLCGroup PAC ID 2769616762, 22 clinicians

Practice addresses (Care Compare)

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413-5409
Phone (850) 588-3589

Merit-based Incentive Payment System (MIPS)

Final score
71.83 of 100Reported as group
Quality
61.85
Improvement activities
40
Cost
76.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR14129300NJMDAdministrator Registered Nurse
APRN9487688FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Florida, LLC CurrentSince Jan 10, 2019 Accepting new patients
Emerald Coast Rheumatology LLC CurrentSince Nov 1, 2022 Accepting new patients
360 Blue Family Medical LLC Family CurrentSince Sep 5, 2023 Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

3890 Jenks Ave
Lynn Haven, FL 32444
Phone (850) 215-6400

4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694

2202 State Ave
Ste 104
Panama City, FL 32405
Phone (850) 640-3320

949 Jenks Ave
Ste 6
Panama City, FL 32401
Phone (850) 792-4924

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589

4850 Mobile Hwy
Ste 100
Pensacola, FL 32506
Phone (850) 542-7771

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3219/brand/1/csg/1/fhir/r4

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": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694822400000",
    "number": "1942729090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15415 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324135409",
            "telephone_number": "850-588-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15415 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324135409",
            "telephone_number": "850-583-9747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 W Route 38",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573212",
            "country_code": "US",
            "telephone_number": "856-722-9333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "949 Jenks Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324012584",
            "country_code": "US",
            "telephone_number": "904-853-0809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUE",
        "first_name": "SAMANTHA",
        "middle_name": "AVLA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NJ",
            "license": "26NR14129300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9487688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BLUE",
            "middle_name": "A",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.