MRS. SAMANTHA ANNE WANNOS ARNP
NPI 1770080046
Nurse Practitioner - Family in Clearwater, FL

Active since April 12, 2018PECOS Enrolled
83.85/100
CMS Quality Rating
3131 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761(727) 726-8871(727) 726-8571 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2021, Jun 11, 2018, Apr 12, 2018 (3 updates tracked since 2018).

About Mrs. Samantha Anne Wannos Arnp NPPES

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

MRS. SAMANTHA ANNE WANNOS ARNP (NPI 1770080046) is an individual family provider in Clearwater, Florida, licensed in Florida (ARNP9282492) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770080046
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SAMANTHA ANNE WANNOSCredential: ARNP
Location Address3131 N MCMULLEN BOOTH RDClearwater, FL 33761
Mailing Address3545 Pickerell PlNew Port Richey, FL 34655-2206 · (727) 916-0358
Fax(727) 726-8571
Sole ProprietorNo
Enumeration DateApril 12, 2018
Last NPPES UpdateJune 11, 20213 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
NPI 1770080046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · ARNP9282492
3131 N MCMULLEN BOOTH RD, Clearwater, FL 33761

Other Identifiers 1

OtherHW88JFL · Florida Blue

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Samantha Anne Wannos Arnp 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 33761 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability81
Improvement Activities40

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.

Physical Therapist
3131 N MCMULLEN BOOTH RD, SUITE 102
CLEARWATER, FL 33761
Family Medicine
3131 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761
Internal Medicine
3131 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761
Pediatrics
3131 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761
Family Medicine
3131 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761
Internal Medicine
3131 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761
Physical Therapist
3131 N MCMULLEN BOOTH RD, SUITE 102
CLEARWATER, FL 33761
Licensed Practical Nurse
3131 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761

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 Wannos's NPI number?

The NPI number for Samantha Wannos is 1770080046. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Samantha Wannos located?

Samantha Wannos practices at 3131 N Mcmullen Booth Rd, Clearwater, FL 33761. The listed phone number is (727) 726-8871.

What is Samantha Wannos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Wannos enrolled in Medicare?

Yes. Samantha Wannos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Wannos was last updated on June 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.