Samantha Davis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10059663 Issued in OR

Practice address

415 Crooked Rd
De Queen, AR 71832-9024

Phone

(111) 111-1111

NPI assigned

Sep 21, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthstar Physicians of Hot Springs PLLCGroup PAC ID 5698665685, shared by 3 NPIs, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050
• Sevier County Medical Center Hospital, De Queen, AR, CCN 041333
• Saline Memorial Hospital Hospital, Benton, AR, CCN 040084
• Howard Memorial Hospital Hospital, Nashville, AR, CCN 041311
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.davis.1@16721.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FEFHCA/Endpoint/FEFHCA
• FHIR API: https://fhir4.healow.com/fhir/r4/FEFHCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Care Family Medicine-Mena PLLC

  • Family Medicine Physician
  • Mena, AR
  • NPI 1619410040
  Medicare reassignment NPD
• Healthstar Physicians of Hot Springs

  • Rural Health Clinic/Center
  • Glenwood, AR
  • NPI 1740368877
  Medicare reassignment NPD
• Healthstar Physicians of Hot Springs, PLLC

  • Family Medicine Physician
  • Hot Springs, AR
  • NPI 1316279375
  Medicare reassignment NPD
• Healthstar Physicians of Hot Springs, PLLC

  • Family Medicine Physician
  • Hot Springs, AR
  • NPI 1821176934
  Medicare reassignment NPD
• Nes Kentucky Inc

  • Emergency Medicine Physician
  • Nashville, AR
  • NPI 1902348048
  Medicare reassignment NPD
• Randy D. Walker, M.D., P.L.L.C.

  • Family Medicine Physician
  • De Queen, AR
  • NPI 1114185121
  Medicare reassignment NPD
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Medicare reassignment
• Healthstar Physicians of Hot Springs, PLLC

  • Family Medicine Physician
  • Norman, AR
  • NPI 1639046097
  NPD
• Healthstar Physicians of Hot Springs, PLLC

  • Clinic/Center
  • Hot Springs, AR
  • NPI 1508240482
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Howard Memorial Hospital

  • Critical Access Hospital
  • Nashville, AR
  • NPI 1851484695
  Care Compare affiliation
• Saline Hospital LLC

  • General Acute Care Hospital
  • Benton, AR
  • NPI 1235111071
  Care Compare affiliation
• Sevier County Medical Center

  • Critical Access Hospital
  • De Queen, AR
  • NPI 1386367506
  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • Occupational Therapist
  • Klamath Falls, OR
  • NPI 1134270911

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1124537162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CROOKED RD",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718329024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CROOKED RD",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718329024",
            "telephone_number": "111-111-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Willamette St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974053238",
            "country_code": "US",
            "telephone_number": "541-640-7625",
            "fax_number": "541-644-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SAMANTHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10059663",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223149758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lezlie Carlene Cusher
• D Luna Counseling Services Inc
• Daniel Young FNP, Inc
• Robin Turley Daniel, D.D.S.
• Darrin Ashbrooks MD PA
• De Queen Family Medical Associates PLLC
• De Queen Health and Wellness Pharmacy LLC
• De Queen Health and Wellness Pharmacy LLC
• De Queen Medical Center
• De Queen Medical Center Dialysis

• Family Nurse Practitioner in De Queen, AR
• Providers in De Queen, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.