SAMANTHA CLARK (APRN-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1740703354
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for SAMANTHA CLARK (APRN-BC)
2702 S ORANGE AVE
ORLANDO, FL 328065402
Phone: (407) 254-5074
Type: Mailing
8385 NARCOOSSEE RD APT 7310
ORLANDO, FL 328275627
Phone: (954) 662-3718
Type: Mailing
3800, 5th Street, Saint Cloud, Osceola County, Florida, 34769, United States
SAINT CLOUD, FL 347692024
Phone: (407) 892-5700
Type: Location
5956 TURKEY LAKE RD
ORLANDO, FL 328194218
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $248.
Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Alkermes, Inc. ($80).
Total Amount
$248
General + Research + Ownership
Payments
10
Total payment records
General Amount
$248
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $80 |
| ABBVIE INC. | $77 |
| Neurocrine BioSciences, Inc. | $56 |
| Almatica Pharma LLC | $22 |
| Otsuka America Pharmaceutical, Inc. | $14 |
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: 2025-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250826000134 | I | Nurse Practitioner | TX | TBD |
| I20250930001516 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 11 | $0 |
Insurance plans in this area (ZIP 32806)
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