MS. SAMANTHA WAHL AGNP-C
NPI 1821883661
Nurse Practitioner - Gerontology in Sarasota, FL

Active since April 11, 2025PECOS Enrolled
4001 SWIFT RD., SUITE 2, SARASOTA, FL 34231(941) 350-8568 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Samantha Wahl Agnp-c NPPES

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

MS. SAMANTHA WAHL AGNP-C (NPI 1821883661) is an individual gerontology provider in Sarasota, Florida, licensed in Florida (11038776) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821883661
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. SAMANTHA WAHLCredential: AGNP-C
Location Address4001 SWIFT RD., SUITE 2Sarasota, FL 34231
Mailing AddressPo Box 22331Sarasota, FL 34276-5331 · (941) 914-2036
Sole ProprietorYes
Enumeration DateApril 11, 2025
NPPES CertifiedApril 11, 2025
✔ NPI 1821883661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · 11038776
4001 SWIFT RD., Sarasota, FL 34231

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Samantha Wahl Agnp-c 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 Samantha Wahl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sports Medicine
3900 CLARK RD, H-1
Sarasota, FL 34233
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group

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 34231 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 Samantha Wahl's NPI number?

The NPI number for Samantha Wahl is 1821883661. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Samantha Wahl located?

Samantha Wahl practices at 4001 Swift Rd. Suite 2, Sarasota, FL 34231. The listed phone number is (941) 350-8568.

What is Samantha Wahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Samantha Wahl enrolled in Medicare?

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

Which organization bills Medicare for Samantha Wahl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Wahl reassigns Medicare benefits to Sarasota Spine & Sport Chiropractic Clinic (Sarasota, 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 Samantha Wahl'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 Samantha Wahl was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.