MS. SAMANTHA LYNN WATT (APRN) – Nurse Practitioner, NPI 1851813141

MS. SAMANTHA LYNN WATT (APRN) is a healthcare provider. based in Little rock, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A005252 (AR). The NPI Number for MS. SAMANTHA LYNN WATT (APRN) is 1851813141

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. SAMANTHA LYNN WATT (APRN)
NPI
1851813141
Phone
(501) 377-9268
Address
11001 EXECUTIVE CENTER DR STE 200
Enumeration Date
9 July 2017
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012270184
Graduation Year
2017 (9 years ago)
PAC ID
1052683836
Group Practice PAC ID
1052450665
Professional Enrollment ID
I20170815001987
Address ID
AR722053328LI5700XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MS. SAMANTHA LYNN WATT (APRN)

  • 11001 EXECUTIVE CENTER DR STE 200

    LITTLE ROCK, AR 722114393

    Phone: (501) 377-9268

    Fax: (501) 367-7790

    Type: Mailing

  • 5700 W MARKHAM ST

    LITTLE ROCK, AR 722053328

    Phone: (501) 377-9268

    Fax: (501) 367-7790

    Type: Location

  • 1 SAINT VINCENT CIR STE 150

    LITTLE ROCK, AR 722055406

    Phone: (501) 813-5415

    Type: Location

  • 1509, Dulles Drive, Lafayette, Lafayette Parish, Louisiana, 70506, United States

    LAFAYETTE, LA 705063718

    Phone: (337) 991-9276

    Fax: (337) 943-0846

    Type: Mailing

  • 2300 ANDOVER CT STE 400

    LITTLE ROCK, AR 722273990

    Phone: (501) 813-5415

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,013.

Total Amount is formed as General ($1,013) + Research ($0) + Ownership ($0) = $1,013.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Eisai Inc. ($151).

Total Amount

$1,013

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,013

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-08-15

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
I20170815001987INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72211)

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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: 1052450665View full group profile
NameSpecialtyState
Nurse PractitionerAR
Pain Management, AnesthesiologyAR
-AR
A N E S T H E S I O L O G YAR
Nurse PractitionerAR
Physical Medicine And Rehabilitation, Pain ManagementAR
Physician AssistantAR
Interventional Pain ManagementFL
Family Practice, Osteopathic Manipulative MedicineAR
General SurgeryAR

Reviews

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Frequently asked questions

Does MS. SAMANTHA LYNN WATT (APRN) have a public NPI I can cite?
Public records show MS. SAMANTHA LYNN WATT (APRN) under NPI 1851813141.
Should I treat MS. SAMANTHA LYNN WATT (APRN) as an active provider?
Patients and plans typically see MS. SAMANTHA LYNN WATT (APRN) as active in the national extract.
What does the directory say MS. SAMANTHA LYNN WATT (APRN) does?
Insurance directories may phrase it differently, but here MS. SAMANTHA LYNN WATT (APRN) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MS. SAMANTHA LYNN WATT (APRN)?
The directory associates MS. SAMANTHA LYNN WATT (APRN) with Little Rock, Arkansas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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