MRS. SAMANTHA RENEE TUTTLE (APRN) – Family Nurse Practitioner, NPI 1659961571

MRS. SAMANTHA RENEE TUTTLE (APRN) is a healthcare provider. based in Lakeland, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11008078 (FL). The NPI Number for MRS. SAMANTHA RENEE TUTTLE (APRN) is 1659961571

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SAMANTHA RENEE TUTTLE (APRN)
NPI
1659961571
Phone
(863) 208-6343
Address
4730 EXPLORATION AVE
Enumeration Date
25 January 2021
Last Update Date
7 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8632086353
Graduation Year
2020 (6 years ago)
PAC ID
4082096714
Group Practice PAC ID
7315999372
Professional Enrollment ID
I20220727004217
Address ID
FL338123319LA4730XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. SAMANTHA RENEE TUTTLE (APRN)

  • 4730 EXPLORATION AVE

    LAKELAND, FL 338123319

    Phone: (863) 208-6343

    Type: Mailing

  • 675 HART LAKE DR

    WINTER HAVEN, FL 338844147

    Phone: (863) 651-6456

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 240 Open Payments records for all available years, with a total value of $5,834.

Total Amount is formed as General ($5,834) + Research ($0) + Ownership ($0) = $5,834.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($447).

Total Amount

$5,834

General + Research + Ownership

Payments

240

Total payment records

General Amount

$5,834

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-07-27

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
I20220727004217INurse PractitionerFLTBD

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 33812)

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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: 7315999372View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YIL
Medical OncologyFL
Physician AssistantFL
Hematology/Oncology, Internal MedicineFL
Hematology/Oncology, Internal MedicineFL
Nurse PractitionerCA
Hematology/Oncology, Internal MedicineFL
Nurse PractitionerFL
H E M A T O L O G Y/ O N C O L O G YWV
Nurse PractitionerCA

Reviews

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Frequently asked questions

Is there an official ID for MRS. SAMANTHA RENEE TUTTLE (APRN) in U.S. healthcare records?
The official identifier for MRS. SAMANTHA RENEE TUTTLE (APRN) is NPI 1659961571.
Is there an active status for MRS. SAMANTHA RENEE TUTTLE (APRN)?
For scheduling context, MRS. SAMANTHA RENEE TUTTLE (APRN) is shown as active in the registry.
What expertise is attributed to MRS. SAMANTHA RENEE TUTTLE (APRN)?
MRS. SAMANTHA RENEE TUTTLE (APRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. SAMANTHA RENEE TUTTLE (APRN) associated with Lakeland?
Public fields place MRS. SAMANTHA RENEE TUTTLE (APRN) around Lakeland, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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