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SAMANTHA ANNE CLARK D.O.
NPI 1982086492
Pediatrics in Lansing, MI

Active since June 19, 2015PECOS Enrolled
1215 E MICHIGAN AVE, LANSING, MI 48912(207) 205-7674 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2025, Nov 28, 2022, Jun 20, 2018 (3 updates tracked since 2018).

About Samantha Anne Clark D.o. NPPES

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

SAMANTHA ANNE CLARK D.O. (NPI 1982086492) is an individual pediatrics provider in Lansing, Michigan, licensed in Michigan (5101022012) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lansing.

NPPES Registry Identity

NPI1982086492
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAMANTHA ANNE CLARKCredential: D.O.
Location Address1215 E MICHIGAN AVELansing, MI 48912
Mailing Address1215 E Michigan AveLansing, MI 48912-1896 · (207) 205-7674
Phone(207) 205-7674
Sole ProprietorNo
Enumeration DateJune 19, 2015
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1982086492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 5101022012
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 18840 (ND)
1215 E MICHIGAN AVE, Lansing, MI 48912
Open in Google Maps ↗

Secondary Practice Location 1

Location 1901 E Mount Hope AveLansing, MI 48910-3207 · Phone (517) 267-3400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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 Anne Clark D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

DANIEL FRANCIS BOUCHARD D.O.
Family Medicine
1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912
Ingham County (231) 955-3360
DR. JESSICA FROST MD
Obstetrics & Gynecology
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5610
MR. GARRETT SMIGELSKI PA-C
Physician Assistant
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-3380
DR. AMY RENEE DRABANT DO
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
DR. EVAN DAVID TYSON BRUCE MD
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
JANA HAIDAR AHMAD MD
Family Medicine
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5710
MR. ANDREW SIDNEY COOPER CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789
MS. KARI LYN FORRO CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789

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 1982086492. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Samantha Clark located?

Samantha Clark practices at 1215 E Michigan Ave, Lansing, MI 48912. The listed phone number is (207) 205-7674.

What is Samantha Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samantha Clark enrolled in Medicare?

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

What insurance does Samantha Clark accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health 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 March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.