SAMANTHA JOANN SHANKLE (APRN) – Family Nurse Practitioner, NPI 1124514328

SAMANTHA JOANN SHANKLE (APRN) is a healthcare provider. based in Fort smith, Arkansas. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. R079261 (AR). The NPI Number for SAMANTHA JOANN SHANKLE (APRN) is 1124514328

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA JOANN SHANKLE (APRN)
NPI
1124514328
Phone
(479) 441-5005
Address
1001 TOWSON AVE
Enumeration Date
11 July 2018
Last Update Date
11 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
8921352303
Group Practice PAC ID
0648514133
Professional Enrollment ID
I20181121002390
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

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Provider Addresses for SAMANTHA JOANN SHANKLE (APRN)

  • Sparks Regional Medical Center, 1001, Towson Avenue, Mill Creek, Fort Smith, Sebastian County, Arkansas, 72903, United States

    FORT SMITH, AR 729014921

    Phone: (479) 441-5005

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-11-21

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
I20181121002390INurse PractitionerARTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,185536$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes922406$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes365345$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8372$0
99238Hospital discharge day management, 30 minutes or less1414$0
View full utilization report →

Insurance plans in this area (ZIP 72901)

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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: 0648514133View full group profile
NameSpecialtyState
-ME
Critical Care (Intensivists)AR
Internal MedicineAR
Family PracticeAR
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)OH
-AR
-AR
-GA
Cardiovascular Disease (Cardiology), Interventional CardiologyAR
Certified Clinical Nurse Specialist (Cns)AR

Reviews

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Frequently asked questions

Can I use this page to confirm SAMANTHA JOANN SHANKLE (APRN)'s NPI?
Yes. SAMANTHA JOANN SHANKLE (APRN) is listed with NPI 1124514328 in the public NPI dataset.
Can I rely on SAMANTHA JOANN SHANKLE (APRN) being an active provider?
As of the registry snapshot, SAMANTHA JOANN SHANKLE (APRN) is marked active.
What is SAMANTHA JOANN SHANKLE (APRN) best known for clinically?
Directory data describes SAMANTHA JOANN SHANKLE (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for SAMANTHA JOANN SHANKLE (APRN)?
SAMANTHA JOANN SHANKLE (APRN)'s geographic hint is Fort Smith, Arkansas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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