JISSEL SAMONS
NPI 1669057014
Nurse Anesthetist, Certified Registered in Clermont, FL

Q: What is Jissel Samons's NPI number?

The NPI number for Jissel Samons is 1669057014. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Q: What is Jissel Samons's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jissel Samons was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 16, 2021Accepts Medicare Assignment

1900 DON WICKHAM DR, CLERMONT, FL 34711(352) 394-4071 Get Directions Write a Review

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

Record update history: Aug 12, 2026, Mar 16, 2021 (2 updates tracked since 2021).

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About Jissel Samons NPPES

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

JISSEL SAMONS (NPI 1669057014) is an individual nurse anesthetist, certified registered in Clermont, Florida, licensed in Indiana (28264469A) and active in the NPI registry since March 2021. She is affiliated with Union Hospital Inc and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669057014

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJISSEL SAMONS

Location Address1900 DON WICKHAM DRClermont, FL 34711-1979

Mailing Address19375 Ranch Club BlvdGroveland, FL 34736-8454 · (352) 321-6102

Phone(352) 394-4071

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 16, 2021

Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1669057014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in IN · 28264469A✔ Licensed in FL · APRN11046660

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1900 DON WICKHAM DR, Clermont, FL 34711

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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

Jissel Samons 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 ID1355740622

PECOS Enrollment IDI20210519001775

Medicare Billing Reassignments

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

Anesthesiologists Of Greater Orlando Inc

Same address

Anesthesiology

1900 DON WICKHAM DR
Clermont, FL 34711

Reassigned Medicare billing, Florida enrollment
530 clinicians in this Medicare group

NPI 1750059838 (954) 939-5000

Iceland Anesthesia Management, LLC

821 mi

Anesthesiology

1606 N 7TH ST
Terre Haute, IN 47804

Reassigned Medicare billing, Indiana enrollment
166 clinicians in this Medicare group

NPI 1912578667 (833) 352-0096

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

21 services21 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

18 services18 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

16 services16 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150023

Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County

Emergency services Birthing friendly

Union Hospital Clinton

Critical Access Hospitals · Clinton, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151326

Location801 S Main StClinton, IN 47842 · Vermillion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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. APRIL LOUISE OXFORD MD

Internal Medicine