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SAMANTHA DRAKE SKINNER DO
NPI 1780263194
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 04, 2021PECOS Enrolled
4301 W MARKHAM ST # 540, LITTLE ROCK, AR 72205(501) 686-5341 Get Directions Write a Review

NPPES record last updated: April 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Drake Skinner Do NPPES

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

SAMANTHA DRAKE SKINNER DO (NPI 1780263194) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780263194
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA DRAKE SKINNERCredential: DO
Location Address4301 W MARKHAM ST # 540Little Rock, AR 72205-7101
Mailing Address201 S Rogers Rd Apt A6Hot Springs, AR 71913-6356 · (205) 983-0917
Phone(501) 686-5341
Sole ProprietorYes
Enumeration DateApril 4, 2021
NPPES CertifiedApril 4, 2021
✔ NPI 1780263194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST # 540, Little Rock, AR 72205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Drake Skinner Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 9

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

EMILY E WRIGHT APRN
Nurse Practitioner
4301 W MARKHAM ST # 540
LITTLE ROCK, AR 72205
Pulaski County (591) 686-6324
DR. ASHLEY ADONNIS SMITH MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 540
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5241
DR. AARON WILLIAM SESLER MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 540
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8428
JACKSON LEWIS MASSEY
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 540
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8428
PAT D O'DONNELL M.D.
Urology
4301 W MARKHAM ST # 540
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
MARCELO P BIGARELLA MD
Urology
4301 W MARKHAM ST # 540
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5655
DR. VANESSA KETAN VYAS MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 540
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6324
JUN SONG MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4301 W MARKHAM ST # 540
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000

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 Skinner's NPI number?

The NPI number for Samantha Skinner is 1780263194. It was assigned to this individual provider in the NPPES registry on April 4, 2021.

Where is Samantha Skinner located?

Samantha Skinner practices at 4301 W Markham St # 540, Little Rock, AR 72205. The listed phone number is (501) 686-5341.

What is Samantha Skinner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Skinner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Skinner was last updated on April 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.