SAMANTHA JANE SULLIVAN APRN
NPI 1508600859
Nurse Practitioner in Gainesville, FL

Q: What is Samantha Sullivan's NPI number?

The NPI number for Samantha Sullivan is 1508600859. It was assigned to this individual provider in the NPPES registry on June 21, 2024. The provider is also known as Samantha Jane Avalos.

Q: What is Samantha Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Sullivan was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since June 21, 2024PECOS EnrolledAccepts Medicare Assignment

1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-9079 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, Jun 21, 2024 (2 updates tracked since 2024).

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About Samantha Jane Sullivan Aprn NPPES

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

SAMANTHA JANE SULLIVAN APRN (NPI 1508600859) is an individual nurse practitioner in Gainesville, Florida, licensed in Florida (11033413) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508600859

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSAMANTHA JANE SULLIVANCredential: APRN

Location Address1600 SW ARCHER RDGainesville, FL 32610-3001

Mailing AddressPo Box 100288Gainesville, FL 32610-0277 · (352) 273-9079

Phone(352) 273-9079

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 21, 2024

Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1508600859 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 · 11033413

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.

1600 SW ARCHER RD, Gainesville, FL 32610

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Other Names 1

Former Name (1)Samantha Jane Avalos

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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 Jane Sullivan 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 ID5092248385

PECOS Enrollment IDI20241024003081

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.

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100113

Location1600 SW Archer RdGainesville, FL 32610 · Alachua County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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.

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.

DR. BAHAREH EBADIFAR KEITH DO

Pediatrics

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-0462

AFRASYAB KHAN

Surgery

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-0680

GULSUN ERDAG MD

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-9900

DR. ALBERT H. MATTIA D.D.S.

Dentist (Prosthodontics)

1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610

Alachua County (352) 273-5801

JOANNA CHAFFIN

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 627-9272

DR. CASEY JUSTIN BEAL MD

Ophthalmology

1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610

Alachua County (352) 273-8778

WILLIAM CRAIG HICKS CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

HENRY FONTILLAS PATALINGHUG CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

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 Sullivan's NPI number?

The NPI number for Samantha Sullivan is 1508600859. It was assigned to this individual provider in the NPPES registry on June 21, 2024. The provider is also known as Samantha Jane Avalos.

Where is Samantha Sullivan located?

Samantha Sullivan practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-9079.

What is Samantha Sullivan's specialty?

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

Is Samantha Sullivan enrolled in Medicare?

Yes. Samantha Sullivan 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.

What insurance does Samantha Sullivan accept?

Health plans from AvMed list Samantha Sullivan 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 Sullivan affiliated with any hospitals?

According to CMS data, Samantha Sullivan is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Sullivan was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.