1. Home
  2. Directory
  3. Florida
  4. Orlando
  5. Nurse Practitioner
  6. NPI Profile

SAMANTHA CLARK APRN-BC
NPI 1740703354
Nurse Practitioner - Psychiatric/Mental Health in Orlando, FL

Active since July 25, 2017PECOS Enrolled
5956 TURKEY LAKE RD, ORLANDO, FL 32819(407) 830-0414 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2023, Apr 8, 2019, Jul 25, 2017 (3 updates tracked since 2017).

About Samantha Clark Aprn-bc NPPES

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

SAMANTHA CLARK APRN-BC (NPI 1740703354) is an individual psychiatric/mental health provider in Orlando, Florida, licensed in Florida (APRN11001826) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740703354
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA CLARKCredential: APRN-BC
Location Address5956 TURKEY LAKE RDOrlando, FL 32819-4218
Mailing Address5956 Turkey Lake RdOrlando, FL 32819-4218
Phone(407) 830-0414
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 25, 2017
Last NPPES UpdateFebruary 21, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1740703354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11001826
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11001826 (FL)
5956 TURKEY LAKE RD, Orlando, FL 32819
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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)

Samantha Clark Aprn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022351956
PECOS Enrollment IDI20250930001516
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

2

Medicare enrollment records show Samantha Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Telecare, PLLC
959 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
NPI 1013303080 (972) 449-0540
Forefront Telecare Inc
959 mi
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Florida enrollment
  • 72 clinicians in this Medicare group
NPI 1174035612 (972) 449-0540

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 32819 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Clark's NPI number?

The NPI number for Samantha Clark is 1740703354. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Samantha Clark located?

Samantha Clark practices at 5956 Turkey Lake Rd, Orlando, FL 32819. The listed phone number is (407) 830-0414.

What is Samantha Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha Clark enrolled in Medicare?

Yes. Samantha Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Clark reassigns Medicare benefits to 2 organizations: Access Telecare, PLLC (Dallas, TX) and Forefront Telecare Inc (Dallas, 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 Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Clark accept?

Health plans from Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Samantha 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.

When was this NPI record last updated?

The NPPES record for Samantha Clark was last updated on February 21, 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.