Samantha Corral Crouch, CNM
Individual provider Active NPI Advanced Practice Midwife · Fayetteville, AR
NPI 1780108456 · NPPES record last updated Jun 16, 2026
Key facts
- NPI
- 1780108456
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- M002133 (AR)
- Practice address
- 1125 N College Ave
Fayetteville, AR 72703-1908 - Phone
- (479) 521-8260
- Fax
- (479) 443-3903
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Arkansas for Medical Sciences
Practice addresses (Care Compare)
1125 N College Ave
Uams Family Medical Center
Fayetteville, AR 72703-1908
Phone (479) 521-8260
4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170906003937 | AR | Practitioner - Certified Nurse Midwife (CNM) | 4082987474 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M002133 | AR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Northwest Arkansas OB/GYN Assoc.,PLC | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients |
Locations
1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
Fl 5
Little Rock, AR 72205
Phone (501) 526-0564
5330 Willow Creek Dr
Springdale, AR 72762
Phone (479) 582-9268
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | M002133 | AR | Yes |
Addresses
Primary practice location
1125 N College Ave
Fayetteville, AR 72703-1908
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
4301 W Markham St # 518
5th floor Unit E5
Little Rock, AR 72205-7101
Phone (501) 526-0564
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M002133 | Other | AR | ARKANSAS STATE BOARD OF NURSING |
| R104356 | Other | AR | ARKANSAS STATE BOARD OF NURSING |
Other names
- Samanath B Corra
Other providers in Fayetteville, AR
- Kelly Cross
- Sharon Crossett
- Crossroads Telemedicine PLLC
- Julie Crouch
- Robert E Crouch Jr.
- Jaclyn Nicole Crowder
- Ryan Crowder
- Maebrie Erin Cruce
- Crucible LLC
- John Frank Cuchia
All providers in Fayetteville, AR · Advanced Practice Midwife in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.