SAMANTHA E FISH APRN
NPI 1750165262
Nurse Practitioner - Adult Health in Jacksonville, FL

Q: What is Samantha Fish's NPI number?

The NPI number for Samantha Fish is 1750165262. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Q: What is Samantha Fish's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Fish was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 24, 2023PECOS Enrolled

7015 A C SKINNER PKWY BLDG 100, JACKSONVILLE, FL 32256(904) 516-3737(904) 516-3738 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2026, Aug 24, 2023 (2 updates tracked since 2023).

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About Samantha E Fish Aprn NPPES

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

SAMANTHA E FISH APRN (NPI 1750165262) is an individual adult health provider in Jacksonville, Florida, licensed in Florida (APRN11028155) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Neptune Beach.

NPPES Registry Identity

NPI1750165262

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSAMANTHA E FISHCredential: APRN

Location Address7015 A C SKINNER PKWY BLDG 100Jacksonville, FL 32256-6932

Mailing Address7015 A C Skinner Pkwy Ste 1Jacksonville, FL 32256-6932 · (904) 363-2113 · Fax (904) 363-2606

Phone(904) 516-3737

Fax(904) 516-3738

Sole ProprietorYes

Enumeration DateAugust 24, 2023

Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1750165262 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 FL · APRN11028155

7015 A C SKINNER PKWY BLDG 100, Jacksonville, FL 32256

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Secondary Practice Location 1

Location 1700 3rd St Ste 302Neptune Beach, FL 32266-5082 · Phone (904) 997-3800 · Fax (904) 997-3800

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha E Fish Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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 12

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

GRACE HENDRIX PA

Physician Assistant (Medical)