SAMANTHA KATE PETTIGREW
NPI 1356036669
Family Medicine in Daytona Beach, FL
About Samantha Kate Pettigrew NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA KATE PETTIGREW (NPI 1356036669) is an individual family medicine provider in Daytona Beach, Florida, licensed in Florida (ME183197) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of University Of Washington School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Kate Pettigrew 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kootenai Health
Acute Care Hospitals · Coeur D'alene, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
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 Pettigrew's NPI number?
The NPI number for Samantha Pettigrew is 1356036669. It was assigned to this individual provider in the NPPES registry on April 11, 2023.
Where is Samantha Pettigrew located?
Samantha Pettigrew practices at 303 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 270-8202.
What is Samantha Pettigrew's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samantha Pettigrew enrolled in Medicare?
Yes. Samantha Pettigrew 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.
Is Samantha Pettigrew affiliated with any hospitals?
According to CMS data, Samantha Pettigrew is affiliated with Kootenai Health.
When was this NPI record last updated?
The NPPES record for Samantha Pettigrew was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Samantha Kate Pettigrew · NPI 1356036669
Family Medicine physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since April 11, 2023.
## Identity
- **NPI:** 1356036669 (Entity type: Individual)
- **Enumerated:** April 11, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** ME183197 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 303 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114-2709
- **Phone:** (386) 270-8202
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Washington School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356036669) · Data from the CMS NPPES public registry.