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SAMANTHA JACKSON APRN
NPI 1366170102
Nurse Practitioner in Citrus Springs, FL

Active since August 10, 2022PECOS EnrolledAccepts Medicare Assignment
7972 N OBERON TER, CITRUS SPRINGS, FL 34434(352) 857-7418 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Jackson Aprn NPPES

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

SAMANTHA JACKSON APRN (NPI 1366170102) is an individual nurse practitioner in Citrus Springs, Florida, licensed in Florida (11021020) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Uf Health Leesburg Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366170102
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA JACKSONCredential: APRN
Location Address7972 N OBERON TERCitrus Springs, FL 34434-6664
Mailing Address7972 N Oberon TerCitrus Springs, FL 34434-6664 · (352) 857-7418
Phone(352) 857-7418
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1366170102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 11021020
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7972 N OBERON TER, Citrus Springs, FL 34434
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida, Wellpoint.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 Jackson Aprn 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 ID3072989961
PECOS Enrollment IDI20221018001326
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 Reassignments

3

Medicare enrollment records show Samantha Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Project Health Inc
7.7 mi
Federally Qualified Health Center (FQHC)
595 N LECANTO HWY
Lecanto, FL 34461
  • Reassigned Medicare billing, Florida enrollment
  • 60 clinicians in this Medicare group
NPI 1669012498 (352) 527-2357
Mohammed A Hossain MD, LLC
31 mi
Nephrology
929 N US HIGHWAY 441 STE 503
Lady Lake, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1952872483 (352) 578-2486
Recover Together, Inc.
568 mi
Adult Mental Health
1501 S MAIN ST STE H
London, KY 40741
  • Reassigned Medicare billing, Florida enrollment
  • 46 clinicians in this Medicare group
NPI 1346736758 (606) 401-0482

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 2

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

Uf Health Leesburg Hospital

Acute Care Hospitals · Leesburg, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100084
Location600 E Dixie AveLeesburg, FL 34748 · Lake County
Emergency services Birthing friendly

Villages Regional Hospital, The

Acute Care Hospitals · The Villages, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100290
Location1451 El Camino RealThe Villages, FL 32159 · Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34434 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Jackson's NPI number?

The NPI number for Samantha Jackson is 1366170102. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Samantha Jackson located?

Samantha Jackson practices at 7972 N Oberon Ter, Citrus Springs, FL 34434. The listed phone number is (352) 857-7418.

What is Samantha Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samantha Jackson enrolled in Medicare?

Yes. Samantha Jackson 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 organizations bill Medicare for Samantha Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Jackson reassigns Medicare benefits to 3 organizations: Project Health Inc (Lecanto, FL), Mohammed A Hossain MD, LLC (Lady Lake, FL) and Recover Together, Inc. (London, KY). Each 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 Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Jackson accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and Wellpoint list Samantha Jackson 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 Jackson affiliated with any hospitals?

According to CMS data, Samantha Jackson is affiliated with Uf Health Leesburg Hospital and Villages Regional Hospital, The.

When was this NPI record last updated?

The NPPES record for Samantha Jackson was last updated on August 10, 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.