MRS. SAMANTHA RENEA BLAKE CNM, RN, IBCLC
NPI 1376410589
Advanced Practice Midwife in Little Rock, AR
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
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Blake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 2,038 clinicians in this Medicare group
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Obhg Texas Holdings PA
- 998 clinicians in this Medicare group
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 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.
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.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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.
Which organizations bill Medicare for Samantha Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Blake reassigns Medicare benefits to 2 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR) and Obhg Texas Holdings, P.A. (Austin, TX). 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 Samantha Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Blake 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 2 other insurers list Samantha Blake 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 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 11 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.
# Mrs. Samantha Renea Blake, CNM, RN, IBCLC · NPI 1376410589
Advanced Practice Midwife physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since October 22, 2025.
## Identity
- **NPI:** 1376410589 (Entity type: Individual)
- **Enumerated:** October 22, 2025
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 235182 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6119 MIDTOWN AVE, Little Rock, AR 72205-5313
- **Phone:** (501) 296-1800 · **Fax:** (501) 296-1711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Sciences (NPI 1669188157, Little Rock, AR); Obhg Texas Holdings, P.A. (NPI 1083917769, Austin, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376410589) · Data from the CMS NPPES public registry.