MRS. SAMANTHA ANNA-LEIGH CLARK FNP-C
NPI 1760329825
Nurse Practitioner - Family in Georgetown, DE
About Mrs. Samantha Anna-leigh Clark Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SAMANTHA ANNA-LEIGH CLARK FNP-C (NPI 1760329825) is an individual family provider in Georgetown, Delaware, licensed in Delaware (LG-0013815) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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 Anna-leigh Clark Fnp-c 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 Reassignment
Medicare enrollment records show Samantha Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salisbury, MD 21801
- Reassigned Medicare billing, Delaware enrollment
- Medicare enrollment name: Peninsula Allergy & Asthma Associates PA
- 9 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 19947 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1760329825. It was assigned to this individual provider in the NPPES registry on April 29, 2026.
Where is Samantha Clark located?
Samantha Clark practices at 20099 Office Cir Ste 208, Georgetown, DE 19947. The listed phone number is (302) 856-1773.
What is Samantha Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Clark enrolled in Medicare?
Yes. Samantha 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.
Which organization bills Medicare for Samantha Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Clark reassigns Medicare benefits to Peninsula Allergy & Asthma Associates P A (Salisbury, MD). The 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.
When was this NPI record last updated?
The NPPES record for Samantha Clark was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Anna-Leigh Clark, FNP-C · NPI 1760329825
Family physician in Georgetown, Delaware. Individual provider, active in the CMS NPPES registry since April 29, 2026.
## Identity
- **NPI:** 1760329825 (Entity type: Individual)
- **Enumerated:** April 29, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** LG-0013815 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 20099 OFFICE CIR STE 208, Georgetown, DE 19947-3196
- **Phone:** (302) 856-1773
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peninsula Allergy & Asthma Associates P A (NPI 1912056243, Salisbury, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760329825) · Data from the CMS NPPES public registry.