SAMANTHA GARDNER CPNP-PC
NPI 1053772954
Nurse Practitioner - Pediatrics in Comanche, OK

Active since March 19, 2016
513 HILLERY RD, SUITE C, COMANCHE, OK 73529(580) 439-2000(580) 439-5669 Get Directions Write a Review

NPPES record last updated: March 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Gardner Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA GARDNER CPNP-PC (NPI 1053772954) is an individual pediatrics provider in Comanche, Oklahoma, licensed in Oklahoma (109994) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1053772954
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSAMANTHA GARDNERCredential: CPNP-PC
Location Address513 HILLERY RD, SUITE CComanche, OK 73529-1200
Mailing Address513 Hillery Rd, Suite CComanche, OK 73529-1200 · (580) 439-2000 · Fax (580) 439-5669
Fax(580) 439-5669
Sole ProprietorNo
Enumeration DateMarch 19, 2016
NPI 1053772954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in OK · 109994
513 HILLERY RD, Comanche, OK 73529

Other Names 1

Former Name (1)Samantha Kellogg Rn

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
513 HILLERY RD, SUITE B
COMANCHE, OK 73529
Pharmacist
513 HILLERY RD, SUITE B
COMANCHE, OK 73529
Pharmacist
513 HILLERY RD
COMANCHE, OK 73529

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Gardner's NPI number?

The NPI number for Samantha Gardner is 1053772954. It was assigned to this individual provider in the NPPES registry on March 19, 2016. The provider is also known as Samantha Kellogg Rn.

Where is Samantha Gardner located?

Samantha Gardner practices at 513 Hillery Rd Suite C, Comanche, OK 73529. The listed phone number is (580) 439-2000.

What is Samantha Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Samantha Gardner accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Samantha Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Gardner was last updated on March 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.