Individual provider Active NPI

Samantha Brooke Elsbree, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1992348841
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004616 Issued in FL
Practice address
600 University Blvd Ste 105
Jupiter, FL 33458-2778
Phone
(561) 748-1888
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11004616 FL Primary

Addresses

Primary practice location

600 University Blvd Ste 105
Jupiter, FL 33458-2778

Mailing address

600 University Blvd Ste 105
Jupiter, FL 33458-2778
Phone (561) 748-1888

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
I20200115002764 FL Practitioner - Nurse Practitioner 6507291762 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11004616FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Internal Medicine Associates P a CurrentSince Jan 2, 2020 Accepting new patients

Locations

600 University Blvd
Ste 105
Jupiter, FL 33458
Phone (561) 331-1996

136 Jupiter Lakes Blvd
Jupiter, FL 33458
Phone (561) 741-5591

Interoperability endpoints

  • Direct secure messaging: selsbree19728@jupitermedicalcenter.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIAJBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1992348841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582778",
            "telephone_number": "561-748-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582778",
            "telephone_number": "561-748-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSBREE",
        "first_name": "SAMANTHA",
        "middle_name": "BROOKE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.