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SAMUEL LEWIS MIDDLETON CPNP-AC
NPI 1184336844
Nurse Practitioner - Pediatrics in Little Rock, AR

Active since December 14, 2022PECOS Enrolled
1 CHILDRENS WAY, LITTLE ROCK, AR 72202(501) 364-1430 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2023, Dec 14, 2022 (2 updates tracked since 2022).

About Samuel Lewis Middleton Cpnp-ac NPPES

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

SAMUEL LEWIS MIDDLETON CPNP-AC (NPI 1184336844) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (124455) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184336844
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameSAMUEL LEWIS MIDDLETONCredential: CPNP-AC
Location Address1 CHILDRENS WAYLittle Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(501) 364-1430
Sole ProprietorNo
Enumeration DateDecember 14, 2022
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1184336844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AR · 124455
Also ListedRegistered NurseTaxonomy 163W00000X · License R088793 (AR)
1 CHILDRENS WAY, Little Rock, AR 72202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Lewis Middleton Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Samuel Middleton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Professional Services Organization LLC
Same address
Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group
NPI 1629889464 (501) 364-2526
University Of Arkansas For Medical Sciences
Same address
Psychologist
1 CHILDRENS WAY # 653
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1114255353 (501) 364-1100
Arkansas Childrens Hospital
3.4 mi
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

LAUREN SEARCY DNP
Nurse Practitioner
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. LAURA MICHELLE MCLAUGHLIN MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MRS. TRACY BAIR PATE M.S.
Speech-Language Pathologist
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-6688
ERIN PALADINO OD
Optometrist
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 441-3453
ELIZABETH WYLLIA
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
LAUREN HENSON APRN
Nurse Practitioner (Family)
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. HAYDEN MILLER MATHEWS MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5115
MEGAN NICOLE BUSH BABER D.O
Pediatrics
1 CHILDRENS WAY, SLOT ACH 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Samuel Middleton's NPI number?

The NPI number for Samuel Middleton is 1184336844. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Samuel Middleton located?

Samuel Middleton practices at 1 Childrens Way, Little Rock, AR 72202. The listed phone number is (501) 364-1430.

What is Samuel Middleton's specialty?

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

Is Samuel Middleton enrolled in Medicare?

Yes. Samuel Middleton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel Middleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Middleton reassigns Medicare benefits to 3 organizations: Arkansas Childrens Professional Services Organization LLC (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR) and Arkansas Childrens Hospital (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Middleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Middleton accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Samuel Middleton 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 Samuel Middleton was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.