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

Samantha Haley Baca

Individual provider Family Nurse Practitioner · NPI 1851120463

Samantha Haley Baca is a Nurse Practitioner in Port Jefferson, New York. Qualified in 2024, 2 years ago. Practices with Harbor View Medical Services PC, a 58-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

125 Oakland Ave Ste 203
Port Jefferson, NY 11777-2130
Phone: (631) 978-7590
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354678-01 (NY)

Record details

NPI number1851120463
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2024
Last updated in NPPESDecember 7, 2024
Certification dateDecember 7, 2024
Mailing address125 Oakland Ave Ste 203, Port Jefferson, NY 11777-2130

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Harbor View Medical Services Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Port Jefferson