Samantha Kaye Hall, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11029447 Issued in FL

Practice address

1990 N Prospect Ave
Lecanto, FL 34461-9792

Phone

(352) 527-6888

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

University of Mississippi School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pediatric and Internal Medicine Specialists IncGroup PAC ID 4486672391, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

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 and National Provider Directory roles.

• Pediatric and Internal Medicine Specialists Inc

  • Family Medicine Physician
  • Lecanto, FL
  • NPI 1396805115
  Medicare reassignment Care Compare group NPD
• Pediatric and Internal Medicine Specialists Inc

  • Internal Medicine Physician
  • Inverness, FL
  • NPI 1164121513
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citrus Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Inverness, FL
  • NPI 1750780342
  Care Compare affiliation

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1942920343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 N PROSPECT AVE",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619792",
            "telephone_number": "352-527-6888",
            "fax_number": "352-527-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N PROSPECT AVE",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619792",
            "telephone_number": "352-527-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2385 N Lecanto Hwy",
            "address_purpose": "LOCATION",
            "city": "Lecanto",
            "state": "FL",
            "postal_code": "344619677",
            "country_code": "US",
            "telephone_number": "352-527-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3580 E Gulf To Lake Hwy",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344533207",
            "country_code": "US",
            "telephone_number": "352-527-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SAMANTHA",
        "middle_name": "KAYE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905425",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11029447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John O Grooms, PA-C
• Teresa C Groover, APRN
• Jeanine M Grossman, ARNP
• H-Bay Ministries, Inc.
• Ron Hale, M.S.W.
• Wendy L Hall, LCSW
• Lajoy Harris
• Rosa Harvey
• Brenda Hayden-Brown, ARNP
• Melissa S Heil, RD,LD,IBCLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.