Samantha Henke, PA-C
NPI 1790299055 · Physician Assistant · Jacksonville, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Henke, PA-C is a Physician Assistant provider in Jacksonville, FL (NPI 1790299055).
Provider details
- NPI number
- 1790299055
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9110918 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 1350 Hickory StMelbourne, FL 32901-3224Phone: (321) 434-1401Fax: (321) 434-1667
Registry dates
- Enumerated
- 2017-11-24
- Last updated
- 2025-04-01
- Certified
- 2025-04-01
Frequently asked questions
- What is Samantha Henke's NPI number?
- Samantha Henke's National Provider Identifier (NPI) is 1790299055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Henke's specialty?
- Samantha Henke is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samantha Henke located?
- Samantha Henke's practice location on file with NPPES is 3625 University Blvd S, Jacksonville, FL 32216-4207.
- What is Samantha Henke's phone number?
- The practice phone number listed in the NPPES registry for Samantha Henke is (706) 494-3193.
- Does Samantha Henke accept Medicare?
- Samantha Henke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Henke's NPI active?
- Yes — Samantha Henke's NPI (1790299055) is active in the NPPES registry as of the last update on 2025-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.