NPIMap

Individual provider Active NPI

Samantha Beth Anderson, CNP

  • Family Nurse Practitioner
  • Newport, AR
National Provider Identifier
1336686708
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216639 Issued in AR
Practice address
1205 McLain St
Newport, AR 72112-3533
Phone
(870) 523-8911
Fax
(870) 512-3455
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216639 AR Primary
Adult Health Clinical Nurse Specialist 364SA2200X S002305 AR

Addresses

Primary practice location

1205 McLain St
Newport, AR 72112-3533

Mailing address

1205 McLain St
Newport, AR 72112-3533
Phone (870) 523-8911

Other identifiers 1

IdentifierTypeStateIssuer
218616758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170316000253 AR Practitioner - Certified Clinical Nurse Specialist (CNS) 1557646486 Reassigns benefits to 1 organization
I20211011000925 AR Practitioner - Nurse Practitioner 1557646486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical Center 182 clinicians

Practice addresses (Care Compare)

1200 McLain St
Newport, AR 72112-3534
Phone (870) 523-0190

1200 McLain St
Suite G
Newport, AR 72112-3550
Phone (870) 523-0193

Hospital & facility affiliations

  • White County Medical Center Hospital, Searcy, AR, CCN 040014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
216639ARMDFamily Nurse Practitioner
S002305ARMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health - Newport Current Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Feb 24, 2025 Accepting new patients
White County Medical Center CurrentSince Feb 1, 2017 Accepting new patients
White County Medical Center CurrentSince Feb 1, 2017 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Feb 24, 2025 Accepting new patients
White County Medical Center Current Accepting new patients
White County Medical Center CurrentSince Jul 3, 2021 Accepting new patients
White County Medical Center Past Accepting new patients

Locations

1547 Harrison St
Batesville, AR 72501
Phone (870) 793-5000

824 Military Rd
Benton, AR 72015
Phone (501) 574-3019

504 W Main St
Ste A
Bradford, AR 72020
Phone (501) 344-8800

2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800

1200 McLain St
Ste G
Newport, AR 72112
Phone (501) 279-9300

1205 McLain St
Newport, AR 72112
Phone (870) 512-3441

1200 McLain St
Ste B
Newport, AR 72112
Phone (870) 523-2320

1200 McLain St
Newport, AR 72112
Phone (870) 523-5272

511 W Main St
Russellville, AR 72801
Phone (479) 223-5130

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1336686708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123533",
            "telephone_number": "870-523-8911",
            "fax_number": "870-512-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123533",
            "telephone_number": "870-523-8911",
            "fax_number": "870-512-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SAMANTHA",
        "middle_name": "BETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216639",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AR",
            "license": "S002305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218616758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, AR

Sources for this page

Verify at the official NPI Registry.