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: July 19, 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 and is a graduate of Other (2024).

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
Medical School CMSOtherGraduated 2024
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Samantha Wahl Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507376902
PECOS Enrollment IDI20250605002686
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 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

The NPI number assigned to this healthcare provider is 1821883661, enumerated as an "individual" on April 11, 2025.

The provider is located at 4001 SWIFT RD. SUITE 2 SARASOTA, FL 34231 and the phone number is (941) 350-8568.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.