Samantha Davis, APRN
NPI 1124537162ActiveIndividual· Nurse Practitioner, Family· De Queen, AR
Nurse Practitioner, Family (APRN) with Sky Lakes Medical Center Inc and 2 other groups, practicing in De Queen, Arkansas. Their prescriptions cost Medicare Part D more than their services did: $229,910 for 3,659 claims, against $6,749 paid for services in 2024. Lists Christus St Michael Health System and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1124537162 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Sep 21, 2017 |
| Last updated in NPPES | Jun 1, 2026 |
| Certified by provider | Jun 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 10059663 | OR |
| Nurse Practitioner, Family | 363LF0000X | A005362 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AR); Practitioner - Nurse Practitioner (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 275 across 60 procedure codes |
| Paid by Medicare | $6,749 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,659 · 6,999 30-day fills |
|---|---|
| Patients | 608 |
| Total drug cost | $229,910 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Sky Lakes Medical Center IncKlamath Falls, OR · 215 clinicians
- Icco LLCEugene, OR · 135 clinicians
- Healthstar Physicians of Hot Springs PLLCHot Springs, AR · 51 clinicians
Hospital affiliations
- Christus St Michael Health SystemTexarkana, TX
- Saline Memorial HospitalBenton, AR
- Sevier County Medical CenterDe Queen, AR
- Sky Lakes Medical CenterKlamath Falls, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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