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SAMUEL CLARK FNP
NPI 1720245673
Nurse Practitioner - Family in Wells, ME

Active since May 19, 2008PECOS EnrolledAccepts Medicare Assignment
112 SANFORD RD, WELLS, ME 04090(207) 646-5211 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2024, Jun 19, 2024 (2 updates tracked since 2024).

About Samuel Clark Fnp NPPES

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

SAMUEL CLARK FNP (NPI 1720245673) is an individual family provider in Wells, Maine, licensed in Maine (CNP241398) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720245673
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL CLARKCredential: FNP
Location Address112 SANFORD RDWells, ME 04090-5533
Mailing Address317 Laudholm Farm RdWells, ME 04090-4707 · (617) 320-5256
Phone(207) 646-5211
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 19, 2008
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1720245673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP241398
112 SANFORD RD, Wells, ME 04090
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families.Insurance ›

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

Samuel Clark Fnp 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 ID9931630589
PECOS Enrollment IDI20241007001983
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04090 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 18

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

HOLLY ROWE PT
Physical Therapist
112 SANFORD RD
WELLS, ME 04090
York County (207) 646-0373
COASTAL OB GYN
General Acute Care Hospital
112 SANFORD RD, STE 2A
WELLS, ME 04090
York County (207) 641-8044
MR. JAMES BRIAN BERUBE PT
Physical Therapist
112 SANFORD RD
WELLS, ME 04090
York County (207) 646-0373
JANE G. ADAMS APRN-BC
Nurse Practitioner (Obstetrics & Gynecology)
112 SANFORD RD, SUITE 2A
WELLS, ME 04090
York County (207) 641-8044
DAWN STEERE PT
Physical Therapist
112 SANFORD RD
WELLS, ME 04090
York County (207) 646-0373
JILL CHARLOTTE DIMARTINIS MD
Family Medicine
112 SANFORD RD
WELLS, ME 04090
York County (207) 646-5211
YORK COUNTY WOUND HEALING & HYPERBARIC MEDICINE CENTER
General Acute Care Hospital
112 SANFORD RD
WELLS, ME 04090
York County (207) 641-8100
JANE PELLETIER PA-C
Physician Assistant
112 SANFORD RD
WELLS, ME 04090
York County (207) 641-8100

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 Clark's NPI number?

The NPI number for Samuel Clark is 1720245673. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Samuel Clark located?

Samuel Clark practices at 112 Sanford Rd, Wells, ME 04090. The listed phone number is (207) 646-5211.

What is Samuel Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samuel Clark enrolled in Medicare?

Yes. Samuel Clark 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.

What insurance does Samuel Clark accept?

Health plans from Ambetter from NH Healthy Families list Samuel Clark 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.

Is Samuel Clark affiliated with any hospitals?

According to CMS data, Samuel Clark is affiliated with York Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Clark was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.