MRS. SAMANTHA MARY TAYLOR VAUGHN APRN
NPI 1790665628
Nurse Practitioner in Lakeland, FL
About Mrs. Samantha Mary Taylor Vaughn Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SAMANTHA MARY TAYLOR VAUGHN APRN (NPI 1790665628) is an individual nurse practitioner in Lakeland, Florida, licensed in Florida (APRN11042011) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeland, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Samantha Mary Taylor Vaughn Aprn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Vaughn's NPI number?
The NPI number for Samantha Vaughn is 1790665628. It was assigned to this individual provider in the NPPES registry on September 3, 2025.
Where is Samantha Vaughn located?
Samantha Vaughn practices at 130 Pablo St, Lakeland, FL 33803. The listed phone number is (863) 284-5020.
What is Samantha Vaughn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Samantha Vaughn enrolled in Medicare?
Yes. Samantha Vaughn 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.
When was this NPI record last updated?
The NPPES record for Samantha Vaughn was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Samantha Mary Taylor Vaughn, APRN · NPI 1790665628
Nurse Practitioner physician in Lakeland, Florida. Individual provider, active in the CMS NPPES registry since September 3, 2025.
## Identity
- **NPI:** 1790665628 (Entity type: Individual)
- **Enumerated:** September 3, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN11042011 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 PABLO ST, Lakeland, FL 33803-3818
- **Phone:** (863) 284-5020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790665628) · Data from the CMS NPPES public registry.