Samantha Laine Simon, - Medicare Nurse Practitioner in Jacksonville, FL

Samantha Laine Simon, is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baptist Primary Care Inc and her current practice location is 532 Riverside Ave Ste 103, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 353-5696.

Samantha Laine Simon is licensed to practice in Florida (license number APRN11041627) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548112014.

Contact Information

Samantha Laine Simon,
532 Riverside Ave Ste 103,
Jacksonville, FL 32202-4914
(904) 353-5696
(904) 390-7483

Map and Direction




Provider's Profile

Full NameSamantha Laine Simon
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location532 Riverside Ave Ste 103, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Laine Simon graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1548112014
  • Provider Enumeration Date: 02/09/2026
  • Last Update Date: 05/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1355817149
  • Enrollment ID: I20260420000781

Medical Identifiers

Medical identifiers for Samantha Laine Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548112014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11041627 (Florida)Primary
363LF0000XNurse Practitioner - Family APRN11041627 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Primary Care Inc0648177733454

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Laine Simon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Laine Simon,
Po Box 746638,
Atlanta, GA 30374-6638

Ph: (904) 202-2092
Samantha Laine Simon,
532 Riverside Ave Ste 103,
Jacksonville, FL 32202-4914

Ph: (904) 353-5696

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.