MRS. SAMANTHA ZINKOFSKY AGNP-C
NPI 1639860091
Nurse Practitioner - Adult Health in Jacksonville, FL

Active since May 17, 2023PECOS EnrolledAccepts Medicare Assignment
2 SHIRCLIFF WAY STE 200, JACKSONVILLE, FL 32204(904) 308-2006 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2024, May 19, 2023 (2 updates tracked since 2023).

About Mrs. Samantha Zinkofsky Agnp-c NPPES

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

MRS. SAMANTHA ZINKOFSKY AGNP-C (NPI 1639860091) is an individual adult health provider in Jacksonville, Florida, licensed in New York (311254) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1639860091
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SAMANTHA ZINKOFSKYCredential: AGNP-C
Location Address2 SHIRCLIFF WAY STE 200Jacksonville, FL 32204-4766
Mailing Address525 E 68th St # 99New York, NY 10065-4870
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 17, 2023
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1639860091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 311254
2 SHIRCLIFF WAY STE 200, Jacksonville, FL 32204

Secondary Practice Location 1

Location 1525 E 68th St # 99New York, NY 10065-4870 · Phone (866) 426-7787

Accepted 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

Mrs. Samantha Zinkofsky Agnp-c 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 ID1456707652
PECOS Enrollment IDI20240815002915
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

2

Medicare enrollment records show Samantha Zinkofsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: St Vincent's Ambulatory Care Inc
  • 544 clinicians in this Medicare group
Rheumatology
186 JORALEMON ST
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 980 clinicians in this Medicare group

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 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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 2

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

Physician Assistant (Surgical)
2 SHIRCLIFF WAY STE 200
JACKSONVILLE, FL 32204
Nurse Practitioner (Family)
2 SHIRCLIFF WAY STE 200
JACKSONVILLE, FL 32204

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 Zinkofsky's NPI number?

The NPI number for Samantha Zinkofsky is 1639860091. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Samantha Zinkofsky located?

Samantha Zinkofsky practices at 2 Shircliff Way Ste 200, Jacksonville, FL 32204. The listed phone number is (904) 308-2006.

What is Samantha Zinkofsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Samantha Zinkofsky enrolled in Medicare?

Yes. Samantha Zinkofsky 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 Zinkofsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Zinkofsky reassigns Medicare benefits to 2 organizations: St Vincents Ambulatory Care Inc (Jacksonville, FL) and Weill Medical College Of Cornell (Brooklyn, NY). 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 Zinkofsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Zinkofsky accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Samantha Zinkofsky 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 Zinkofsky affiliated with any hospitals?

According to CMS data, Samantha Zinkofsky is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Ascension St Vincent's Southside and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Samantha Zinkofsky 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 22 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.