IndividualActive
Samantha Nowakowski
NPI 1245701002 · Physician Assistant · Jacksonville Beach, FL
Provider details
- NPI number
- 1245701002
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1361 13th Ave S Ste 270
Jacksonville Beach, FL 32250-3258
Phone: (904) 241-7147
Street-level locationGet directions
Mailing address
12912 Huntley Manor Dr
Jacksonville, FL 32224-7908
Registry dates
- Enumerated
- 2018-12-05
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.