SAMANTHA DAWN PATE ARNP NPI 1720613979

NPI Information

  • NPI: 1720613979
  • Provider Name: SAMANTHA DAWN PATE, ARNP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1303 MOSLEY DR
    LYNN HAVEN, FL
    ZIP 32444
  • Phone: (850) 271-5996

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NPI Details

Samantha Dawn Pate, ARNP is a nurse practitioner in Lynn Haven, FL. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Samantha Dawn Pate, ARNP NPI is 1720613979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1303 MOSLEY DR
LYNN HAVEN, FL
ZIP 32444-625
Phone: (850) 271-5996
Fax: (850) 271-4088

The NPI 1720613979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Urinalysis, manual test (HCPCS:81002)
  • Administration of psychological or neuropsychological test, first 30 minutes (HCPCS:96136)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)

The enumeration date for this NPI number is 3/9/2020 and was last updated on 3/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner11003866FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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