Individual ProviderSamantha SchmidtNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address525 Technology Park Ste 109, Lake Mary, FL 32746-7107(239) 839-1828PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Schmidt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1659235539Provider TypeIndividualFull NameSchmidt, SamanthaGenderFemaleSole ProprietorNoEnumeration Date12/15/2025Last Updated12/15/2025Contact InformationPractice LocationPractice Address525 Technology Park Ste 109, Lake Mary, FL 32746-7107Phone(239) 839-1828FaxUnlisted FaxMailing LocationMailing Address10830 Deal Rd, North Fort Myers, FL 33917-5237Phone(239) 839-1828FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11042695Florida