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

Samantha Laine Simon

Individual provider Nurse Practitioner · NPI 1548112014

Samantha Laine Simon is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2025, 1 year ago. Practices with Baptist Primary Care Inc, a 457-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

532 Riverside Ave Ste 103
Jacksonville, FL 32202-4914
Phone: (904) 353-5696
Fax: (904) 390-7483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11041627 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11041627 (FL)

Record details

NPI number1548112014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 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)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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