Samuel Clark, FNP
NPI 1720245673ActiveIndividual· Nurse Practitioner, Family· Wells, ME
Nurse Practitioner, Family (FNP) with York Hospital, practicing in Wells, Maine. Their prescriptions cost Medicare Part D more than their services did: $13,072 for 200 claims, against $4,609 paid for services in 2024. Lists York Hospital as a hospital affiliation.
Overview
| NPI | 1720245673 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | May 19, 2008 |
| Last updated in NPPES | Jul 23, 2024 |
| Certified by provider | Jul 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | CNP241398 | ME |
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 (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 71 across 6 procedure codes |
| Paid by Medicare | $4,609 |
Part D prescriptions in 2024
| Prescriptions (claims) | 200 · 413 30-day fills |
|---|---|
| Patients | 99 |
| Total drug cost | $13,072 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- York HospitalWells, ME · 198 clinicians
Hospital affiliation
- York HospitalYork, ME
Other facilities
- Elara CaringHome health agency · South Portland, ME
- Mainehealth Home Health and HospiceHome health agency · Saco, ME
- York Hospital Home CareHome health agency · York, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Wells
- 1659654671
- 1710647946