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SAMANTHA ROSE TEETER PA-C
NPI 1982269361
Physician Assistant in Jacksonville, FL

Active since May 01, 2019PECOS Enrolled
4268 OLDFIELD CROSSING DR, JACKSONVILLE, FL 32223(607) 426-1880 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2019, May 1, 2019 (2 updates tracked since 2019).

About Samantha Rose Teeter Pa-c NPPES

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

SAMANTHA ROSE TEETER PA-C (NPI 1982269361) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9112809) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982269361
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA ROSE TEETERCredential: PA-C
Location Address4268 OLDFIELD CROSSING DRJacksonville, FL 32223-7898
Mailing Address4268 Oldfield Crossing DrJacksonville, FL 32223-7898 · (607) 426-1880
Phone(607) 426-1880
Sole ProprietorYes
Enumeration DateMay 1, 2019
Last NPPES UpdateMarch 28, 20222 updates tracked since enumeration
NPPES CertifiedMarch 28, 2022
✔ NPI 1982269361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9112809
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4268 OLDFIELD CROSSING DR, Jacksonville, FL 32223
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Rose Teeter Pa-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 Teeter's NPI number?

The NPI number for Samantha Teeter is 1982269361. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Samantha Teeter located?

Samantha Teeter practices at 4268 Oldfield Crossing Dr, Jacksonville, FL 32223. The listed phone number is (607) 426-1880.

What is Samantha Teeter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samantha Teeter enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Teeter was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.