MRS. SAMANTHA RENEA BLAKE CNM, RN, IBCLC
NPI 1376410589
Advanced Practice Midwife in Little Rock, AR

Q: What is Samantha Blake's NPI number?

The NPI number for Samantha Blake is 1376410589. It was assigned to this individual provider in the NPPES registry on October 22, 2025. The provider is also known as Samantha Renea Perez.

Q: What is Samantha Blake's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Blake was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since October 22, 2025PECOS EnrolledAccepts Medicare Assignment

6119 MIDTOWN AVE, LITTLE ROCK, AR 72205(501) 296-1800(501) 296-1711 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Samantha Renea Blake Cnm, Rn, Ibclc NPPES

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

MRS. SAMANTHA RENEA BLAKE CNM, RN, IBCLC (NPI 1376410589) is an individual advanced practice midwife in Little Rock, Arkansas, licensed in Arkansas (235182) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376410589

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMRS. SAMANTHA RENEA BLAKECredential: CNM, RN, IBCLC

Location Address6119 MIDTOWN AVELittle Rock, AR 72205-5313

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148

Phone(501) 296-1800

Fax(501) 296-1711

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 22, 2025

Last NPPES UpdateNovember 7, 2025

NPPES CertifiedNovember 7, 2025

✔ NPI 1376410589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in AR · 235182

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedNurse Practitioner · PerinatalTaxonomy 363LP1700X · License CNM10520 (TX)

Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License CNM10520 (TX)

6119 MIDTOWN AVE, Little Rock, AR 72205

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Other Names 1

Former Name (1)Samantha Renea Perez

Secondary Practice Location 1

Location 14301 W Markham St # 518Little Rock, AR 72205-7199 · Phone (501) 614-2006 · Fax (501) 526-6562

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Samantha Renea Blake Cnm, Rn, Ibclc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981196797

PECOS Enrollment IDI20251119004271

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

BETHANY PAIGE WILLIAMS FNP-C

Nurse Practitioner (Family)

6119 MIDTOWN AVE
LITTLE ROCK, AR 72205

Pulaski County (501) 296-1800

HANNAH C MARTIN APRN

Nurse Practitioner (Women's Health)

6119 MIDTOWN AVE
LITTLE ROCK, AR 72205

Pulaski County (501) 296-1800

DENNIS WILLIAM JACKS CRNA

Nurse Anesthetist, Certified Registered

6119 MIDTOWN AVE, SUITE 201
LITTLE ROCK, AR 72205

Pulaski County (501) 664-4532

ASHLI-EMERIA GARY

Midwife

6119 MIDTOWN AVE
LITTLE ROCK, AR 72205

Pulaski County (901) 601-2157

NATALIE J SVENDSEN ARPN

Nurse Practitioner (Family)

6119 MIDTOWN AVE
LITTLE ROCK, AR 72205

Pulaski County (501) 296-1800

CLEVELAND JONES CRNA

Nurse Anesthetist, Certified Registered

6119 MIDTOWN AVE, SUITE 201
LITTLE ROCK, AR 72205

Pulaski County (501) 664-4532

KRISTINA M JONES M.D.

Obstetrics & Gynecology

6119 MIDTOWN AVE
LITTLE ROCK, AR 72205

Pulaski County (501) 296-1800

WHITNEY DUMAS FPN-C

Nurse Practitioner (Family)

6119 MIDTOWN AVE
LITTLE ROCK, AR 72205

Pulaski County (501) 296-1800

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 Blake's NPI number?

The NPI number for Samantha Blake is 1376410589. It was assigned to this individual provider in the NPPES registry on October 22, 2025. The provider is also known as Samantha Renea Perez.

Where is Samantha Blake located?

Samantha Blake practices at 6119 Midtown Ave, Little Rock, AR 72205. The listed phone number is (501) 296-1800.

What is Samantha Blake's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Samantha Blake enrolled in Medicare?

Yes. Samantha Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Blake was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.