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SAMANTHA SHOSHANA PETRILLO AGACNP-BC
NPI 1003782228
Nurse Practitioner - Adult Health in Fort Lauderdale, FL

Active since October 14, 2025PECOS EnrolledAccepts Medicare Assignment
1601 S ANDREWS AVE FL 3, FORT LAUDERDALE, FL 33316(954) 763-6655(954) 763-6799 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Shoshana Petrillo Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA SHOSHANA PETRILLO AGACNP-BC (NPI 1003782228) is an individual adult health provider in Fort Lauderdale, Florida, licensed in Florida (APRN11042570) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Broward Health Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2025).

NPPES Registry Identity

NPI1003782228
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSAMANTHA SHOSHANA PETRILLOCredential: AGACNP-BC
Location Address1601 S ANDREWS AVE FL 3Fort Lauderdale, FL 33316-2509
Mailing Address1608 Se 3rd Ave Fl 3Fort Lauderdale, FL 33316-2564 · (954) 763-6655 · Fax (954) 763-6799
Phone(954) 763-6655
Fax(954) 763-6799
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2025
Enumeration DateOctober 14, 2025
Last NPPES UpdateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1003782228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN11042570
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 11042570 (FL)
1601 S ANDREWS AVE FL 3, Fort Lauderdale, FL 33316
Open in Google Maps ↗

Other Identifiers 1

Medicaid129062900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Shoshana Petrillo Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395237846
PECOS Enrollment IDI20251122000957
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Petrillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Broward Hospital District
Same address
Orthopaedic Surgery
1601 S ANDREWS AVE FL 2
Fort Lauderdale, FL 33316
  • Reassigned Medicare billing, Florida enrollment
  • 252 clinicians in this Medicare group
NPI 1013278738 (954) 355-3490

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Broward Health Medical Center

Acute Care Hospitals · Fort Lauderdale, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100039
Location1600 S Andrews AveFort Lauderdale, FL 33316 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY MELISSA ROLAND APRN
Nurse Practitioner (Family)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 763-6655
MONICA SVOBODA APRN
Nurse Practitioner (Family)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 763-6655
ALLISON HEATHER PRINTZ FNP-C
Nurse Practitioner (Family)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 763-6655
NORTH BROWARD HOSPITAL DISTRICT
Neurological Surgery
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 763-6665
ANDREA P KRASNIANSKY OTR/L, MHS,MPH, PA-C
Physician Assistant (Medical)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 763-6655
RAFAEL MIGUEL BUSTAMANTE M.D.
Surgery (Vascular Surgery)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 320-3380
DR. JOSEPH HASAN HABIB M.D.
Surgery (Vascular Surgery)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 320-3380
NEHA KAPILA MD
Orthopaedic Surgery (Hand Surgery)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 468-4069

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Petrillo's NPI number?

The NPI number for Samantha Petrillo is 1003782228. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Where is Samantha Petrillo located?

Samantha Petrillo practices at 1601 S Andrews Ave Fl 3, Fort Lauderdale, FL 33316. The listed phone number is (954) 763-6655.

What is Samantha Petrillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Samantha Petrillo enrolled in Medicare?

Yes. Samantha Petrillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samantha Petrillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Petrillo reassigns Medicare benefits to North Broward Hospital District (Fort Lauderdale, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Petrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Petrillo accept?

Health plans from Oscar Health Maintenance Organization of Florida list Samantha Petrillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samantha Petrillo affiliated with any hospitals?

According to CMS data, Samantha Petrillo is affiliated with Broward Health Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Petrillo was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.