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

Samantha Triece

Individual provider Family Nurse Practitioner · NPI 1164290839

Samantha Triece is a Nurse Practitioner in Orange City, Florida. Qualified in 2023, 3 years ago. Practices with Advanced Urology Institute LLC, a 149-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

2583 S Volusia Ave Ste 300
Orange City, FL 32763-9129
Phone: (386) 774-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11030037 (FL)

Record details

NPI number1164290839
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2023
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023
Mailing address1475 Chelsea Manor Cir, Deland, FL 32724-8097

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advanced Urology Institute Llc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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