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LISBET GARRIDO SAMON
NPI 1770335168
Nurse Practitioner - Family in Brandon, FL

Active since April 01, 2024PECOS Enrolled
2016 DERBYWOOD DR, BRANDON, FL 33510(786) 307-6283 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2024, Apr 9, 2024, Apr 1, 2024 (3 updates tracked since 2024).

About Lisbet Garrido Samon NPPES

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

LISBET GARRIDO SAMON (NPI 1770335168) is an individual family provider in Brandon, Florida, licensed in Florida (11031108) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770335168
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISBET GARRIDO SAMON
Location Address2016 DERBYWOOD DRBrandon, FL 33510-2214
Mailing Address2016 Derbywood DrBrandon, FL 33510-2214 · (786) 307-6283
Phone(786) 307-6283
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1770335168 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 · 11031108
2016 DERBYWOOD DR, Brandon, FL 33510
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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 (PECOS)

Lisbet Garrido Samon 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisbet Garrido Samon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medical Group Of Tampa Inc
12 mi
Primary Care
8011 N HIMES AVE STE 4
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1073002218 (813) 488-1414

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33510 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.

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 Lisbet Garrido Samon's NPI number?

The NPI number for Lisbet Garrido Samon is 1770335168. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Lisbet Garrido Samon located?

Lisbet Garrido Samon practices at 2016 Derbywood Dr, Brandon, FL 33510. The listed phone number is (786) 307-6283.

What is Lisbet Garrido Samon's specialty?

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

Is Lisbet Garrido Samon enrolled in Medicare?

Yes. Lisbet Garrido Samon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisbet Garrido Samon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisbet Garrido Samon reassigns Medicare benefits to Family Medical Group Of Tampa Inc (Tampa, FL). The 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 Lisbet Garrido Samon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisbet Garrido Samon was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.