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

Samantha Medeiros

Individual provider Family Nurse Practitioner · NPI 1205786613

Samantha Medeiros is a Nurse Practitioner in Fairfield, New Jersey. Qualified in 2025, 1 year ago. Practices with Personal NP Services LLC, a 65-clinician group and accepts Medicare assignment. Licensed in New Jersey.

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

Practice location Address checks out

21 Craig Pl
Fairfield, NJ 07004-1737
Phone: (973) 330-6217
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 26NJ15520100 (NJ)

Record details

NPI number1205786613
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2026
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address456 Chestnut St Ste 102, Lakewood, NJ 08701-6124

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 Personal Np Services Llc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairfield