DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD) – Internal Medicine Physician, NPI 1033346242

DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD) is a healthcare provider. based in Atlantis, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. TRN13710 (FL). The NPI Number for DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD) is 1033346242

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD)
NPI
1033346242
Phone
(561) 548-1273
Address
5301 S CONGRESS AVE
Enumeration Date
15 June 2009
Last Update Date
15 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7864662940
Graduation Year
2007 (19 years ago)
PAC ID
0244762797
Group Practice PAC ID
2961839758
Professional Enrollment ID
I20241022002578
Address ID
FL331361005MI1611XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD)

  • JFK Medical Center, 5301, South Congress Avenue, Hypoluxo Village, Atlantis, Palm Beach County, Florida, 33462, United States

    ATLANTIS, FL 334621149

    Phone: (561) 548-1273

    Type: Location

  • 4158, Inverrary Drive, The Manors of Inverrary, Lauderhill, Broward County, Florida, 33319, United States

    APT 410

    LAUDERHILL, FL 333194523

    Phone: (954) 486-5356

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241022002578IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33462)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961839758View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineFL
Internal Medicine, HospitalistFL
Internal MedicineNY
Internal Medicine, HospitalistFL
Internal Medicine, Geriatric MedicineFL
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL
Hospitalist, Internal MedicineIL

Reviews

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Frequently asked questions

What is DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD)'s NPI number?
DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD)'s NPI is 1033346242 — the number used across U.S. healthcare to identify this provider.
Is DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD) shown as active in public data?
Registry records indicate DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD) maintains an active NPI.
How would a patient describe DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD)'s focus?
For DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD)?
Travel planning: use Atlantis, Florida as the reference point for DR. SAMANTHA SYLVONNE KERRY-ANN NICHOLSON-SPENCE (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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