SUSAN M SAMERDYKE APRN
NPI 1134329741
Nurse Practitioner - Psychiatric/Mental Health in North Fort Myers, FL

Active since July 21, 2007
13279 N CLEVELAND AVE, NORTH FORT MYERS, FL 33903(239) 652-4111(239) 652-4105 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2021, Oct 21, 2020, Apr 23, 2020 and 1 more (4 updates tracked since 2020).

About Susan M Samerdyke Aprn NPPES

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

SUSAN M SAMERDYKE APRN (NPI 1134329741) is an individual psychiatric/mental health provider in North Fort Myers, Florida, licensed in Florida (APRN158152) and active in the NPI registry since July 2007. She maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1134329741
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN M SAMERDYKECredential: APRN
Location Address13279 N CLEVELAND AVENorth Fort Myers, FL 33903-4818
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 652-4111 · Fax (239) 652-4105
Fax(239) 652-4105
Sole ProprietorNo
Enumeration DateJuly 21, 2007
Last NPPES UpdateMarch 30, 20214 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1134329741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · APRN158152
13279 N CLEVELAND AVE, North Fort Myers, FL 33903

Secondary Practice Location 1

Location 112550 New BrittanyFort Myers, FL 33907-3655 · Phone (239) 242-8773

Other Identifiers 1

Medicaid001586500FL

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
13279 N CLEVELAND AVE
NORTH FORT MYERS, FL 33903
Family Medicine
13279 N CLEVELAND AVE
NORTH FORT MYERS, FL 33903
Clinic/Center (Federally Qualified Health Center (FQHC))
13279 N CLEVELAND AVE
NORTH FORT MYERS, FL 33903
Nurse Practitioner (Family)
13279 N CLEVELAND AVE
NORTH FORT MYERS, FL 33903
Physician Assistant
13279 N CLEVELAND AVE
NORTH FORT MYERS, FL 33903
Internal Medicine
13279 N CLEVELAND AVE
NORTH FORT MYERS, FL 33903
Nurse Practitioner (Gerontology)
13279 N CLEVELAND AVE
FORT MYERS, FL 33903

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 Susan Samerdyke's NPI number?

The NPI number for Susan Samerdyke is 1134329741. It was assigned to this individual provider in the NPPES registry on July 21, 2007.

Where is Susan Samerdyke located?

Susan Samerdyke practices at 13279 N Cleveland Ave, North Fort Myers, FL 33903. The listed phone number is (239) 652-4111.

What is Susan Samerdyke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Susan Samerdyke was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.