Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Samantha Juanita Vickers, DNP, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417429523

Dr. Samantha Juanita Vickers, DNP, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices with Sunshine State Anesthesia Partners LLC, a 433-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone: (904) 702-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11000749 (FL)

Record details

NPI number1417429523
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , CRNA
Sole proprietorYes
NPI enumeratedDecember 31, 2018
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sunshine State Anesthesia Partners Llc — 433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients68
Services billed 105 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Sunshine State Anesthesia Partners LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 433 clinicians in the practice; 12 are shown here.

Other providers in Jacksonville