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DR. SAMANTHA ISERN MD
NPI 1184374597
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since March 28, 2022PECOS Enrolled
653 W 8TH ST # L18, JACKSONVILLE, FL 32209(904) 244-3094(904) 244-7388 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samantha Isern Md NPPES

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

DR. SAMANTHA ISERN MD (NPI 1184374597) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184374597
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SAMANTHA ISERNCredential: MD
Location Address653 W 8TH ST # L18Jacksonville, FL 32209-6511
Mailing Address653 W 8th St # L18Jacksonville, FL 32209-6511 · (904) 244-3094 · Fax (904) 244-7388
Phone(904) 244-3094
Fax(904) 244-7388
Sole ProprietorNo
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1184374597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
653 W 8TH ST # L18, Jacksonville, FL 32209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Isern Md 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.

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.

TANYA DEOL
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
TIANNA SASHER DO
Internal Medicine
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3091
JACOB THERIAULT DO
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
MATTHEW MOENCH MD
Psychiatry & Neurology (Neurology)
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (727) 217-5609
CHRISTOPHER JAMES MIKULAS
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
GABRIEL KAI MORALES DO
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3091
ANVIT DANDU REDDY DO
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
LAURA ANABEL OSHEROV DO
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094

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 Isern's NPI number?

The NPI number for Samantha Isern is 1184374597. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Samantha Isern located?

Samantha Isern practices at 653 W 8th St # L18, Jacksonville, FL 32209. The listed phone number is (904) 244-3094.

What is Samantha Isern's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Isern enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Isern was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.