SAMANTHA MARIE CRONK (AGACNP-BC) – Nurse Practitioner, NPI 1417563339

SAMANTHA MARIE CRONK (AGACNP-BC) is a healthcare provider. based in Gaylord, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 4704311250 (MI). The NPI Number for SAMANTHA MARIE CRONK (AGACNP-BC) is 1417563339

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA MARIE CRONK (AGACNP-BC)
NPI
1417563339
Phone
(231) 348-3283
Address
2922 D AND M DR STE B
Enumeration Date
16 September 2020
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2313483283
Graduation Year
2019 (7 years ago)
PAC ID
8628498185
Group Practice PAC ID
5294821807
Professional Enrollment ID
I20201021003421
Address ID
MI497357417GA2922XDRXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for SAMANTHA MARIE CRONK (AGACNP-BC)

  • 2922 D AND M DR STE B

    GAYLORD, MI 497357417

    Phone: (231) 348-3283

    Type: Mailing

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone: (616) 486-6790

    Type: Mailing

  • 25 MICHIGAN ST NE STE 6100

    GRAND RAPIDS, MI 495032561

    Phone: (616) 267-7900

    Type: Location

  • 560 W Mitchell St

    Petoskey, MI 497702275

    Phone: (231) 487-3182

    Type: Location

  • 25 Michigan St NE Ste 6100

    Grand Rapids, MI 495032561

    Phone: (616) 267-7900

    Type: Location

  • 560 W MITCHELL ST

    PETOSKEY, MI 497702275

    Phone: (231) 487-3182

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($84).

Total Amount

$146

General + Research + Ownership

Payments

6

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-10-21

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
I20201021003421INurse PractitionerMITBD

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 minutes4128$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 49735)

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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: 5294821807View full group profile
NameSpecialtyState
Physical Medicine And Rehabilitation, Pain ManagementMI
Physician AssistantMI
Physical Medicine And RehabilitationMI
Physician AssistantMI
Physical Medicine And RehabilitationMI

Reviews

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Frequently asked questions

How is SAMANTHA MARIE CRONK (AGACNP-BC) identified in CMS data?
CMS-hosted NPPES data lists SAMANTHA MARIE CRONK (AGACNP-BC) with NPI 1417563339.
Is SAMANTHA MARIE CRONK (AGACNP-BC) still practicing?
SAMANTHA MARIE CRONK (AGACNP-BC) is currently listed as active in the public NPI registry.
What is SAMANTHA MARIE CRONK (AGACNP-BC) best known for clinically?
Directory data describes SAMANTHA MARIE CRONK (AGACNP-BC) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does SAMANTHA MARIE CRONK (AGACNP-BC) serve?
SAMANTHA MARIE CRONK (AGACNP-BC)'s listing highlights Gaylord, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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