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SAMANTHA VICK ARNP
NPI 1104079995
Nurse Practitioner - Family in Hollywood, FL

Active since October 24, 2008PECOS Enrolled
2906 N 35TH TER, HOLLYWOOD, FL 33021(954) 612-6857 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2023, Aug 27, 2019, May 4, 2018 and 1 more (4 updates tracked since 2015).

About Samantha Vick Arnp NPPES

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

SAMANTHA VICK ARNP (NPI 1104079995) is an individual family provider in Hollywood, Florida, licensed in Florida (ARNP9186588) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104079995
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA VICKCredential: ARNP
Location Address2906 N 35TH TERHollywood, FL 33021-8406
Mailing Address2906 N 35th TerHollywood, FL 33021-8406 · (954) 612-6857
Phone(954) 612-6857
Sole ProprietorNo
Enumeration DateOctober 24, 2008
Last NPPES UpdateFebruary 7, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1104079995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9186588
Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP9186588 (FL)
2906 N 35TH TER, Hollywood, FL 33021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Vick Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Vick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vick's Medical, LLC
Same address
Nurse Practitioner
2906 N 35TH TER
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
NPI 1801730171 (954) 612-6857

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 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

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

VICK'S MEDICAL, LLC
Nurse Practitioner
2906 N 35TH TER
HOLLYWOOD, FL 33021
Broward County (954) 612-6857

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 Vick's NPI number?

The NPI number for Samantha Vick is 1104079995. It was assigned to this individual provider in the NPPES registry on October 24, 2008.

Where is Samantha Vick located?

Samantha Vick practices at 2906 N 35th Ter, Hollywood, FL 33021. The listed phone number is (954) 612-6857.

What is Samantha Vick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Vick enrolled in Medicare?

Yes. Samantha Vick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Vick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Vick reassigns Medicare benefits to Vick's Medical, LLC (Hollywood, 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 Vick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Vick was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.