SAMANTHA ANNE CLARK D.O.
NPI 1982086492
Pediatrics in Lansing, MI
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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 Anne Clark D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Samantha Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 916 clinicians in this Medicare group
Ithaca, MI 48847
- Reassigned Medicare billing, Michigan enrollment
- 258 clinicians in this Medicare group
Gladwin, MI 48624
- Reassigned Medicare billing, Michigan enrollment
- 162 clinicians in this Medicare group
Alpena, MI 49707
- Reassigned Medicare billing, Michigan enrollment
- 219 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 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.
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.
LANSING, MI 48912
LANSING, MI 48912
LANSING, MI 48912
LANSING, MI 48912
LANSING, MI 48912
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.
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 4 organizations: Edward W Sparrow Hospital Association (Lansing, MI), Mymichigan Medical Center Alma (Ithaca, MI), Mymichigan Medical Center Gladwin (Gladwin, MI) and Mymichigan Medical Center Alpena (Alpena, MI). 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 Blue Shield of Michigan Mutual Insurance Company 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 19 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.
# Samantha Anne Clark, D.O. · NPI 1982086492
Pediatrics physician in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since June 19, 2015.
## Identity
- **NPI:** 1982086492 (Entity type: Individual)
- **Enumerated:** June 19, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 5101022012 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 E MICHIGAN AVE, Lansing, MI 48912
- **Phone:** (207) 205-7674
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Edward W Sparrow Hospital Association (NPI 1346609930, Lansing, MI); Mymichigan Medical Center Alma (NPI 1679506851, Ithaca, MI); Mymichigan Medical Center Gladwin (NPI 1073999298, Gladwin, MI); Mymichigan Medical Center Alpena (NPI 1427282011, Alpena, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1982086492) · Data from the CMS NPPES public registry.