Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Priya Bakiaseeli Samraj

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1053253864

Priya Bakiaseeli Samraj is a Nurse Practitioner in Lake Mary, Florida. Qualified in 2025, 1 year ago. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2026

Practice location Address checks out

385 Waymont Ct
Lake Mary, FL 32746-3574
Phone: (407) 714-6023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11046640 (FL)

Record details

NPI number1053253864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2026
Last updated in NPPESJune 28, 2026
Certification dateJune 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lake Mary