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

Samantha Jackson

Individual provider Nurse Practitioner · NPI 1922855295

Samantha Jackson is a Nurse Practitioner in Belleview, Florida. Qualified in 2024, 2 years ago. Practices with Elyaman Medical Services PA, a 19-clinician group and accepts Medicare assignment. Licensed in Florida.

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

Practice location Address checks out

5051 SE 110th St
Belleview, FL 34420-3115
Phone: (352) 732-6599
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11032487 (FL)

Record details

NPI number1922855295
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2024
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address5051 Se 110th St, Belleview, FL 34420-3115

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 Elyaman Medical Services Pa — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Belleview