Individual provider

Samuel Clark, FNP

Family Nurse Practitioner Medicare enrolled

Samuel Clark, FNP is a Family Nurse Practitioner in Wells, ME, registered under NPI 1720245673.

Getting there

The practice address on file is 112 SANFORD RD, Wells, ME 04090. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

112 SANFORD RD, Wells, ME 04090 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
CNP241398 ME Family Nurse Practitioner primary

This provider holds licence CNP241398 issued in ME. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
9931630589
Enrollment ID
I20241007001983

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1720245673 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 19, 2008
Last updatedJul 23, 2024
StatusActive
Sole proprietorNo
CredentialFNP
Practice address 112 SANFORD RD
Wells, ME 04090
(207) 646-5211
Mailing address 317 LAUDHOLM FARM RD
Wells, ME 04090
This record was updated on Jul 23, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1720245673 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 2 0 2 4 5 6 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 4 0 4 4 1 6 5

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1720245673?
NPI 1720245673 is the National Provider Identifier assigned to Samuel Clark, FNP in Wells, ME. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Samuel Clark, FNP?
The phone number on file with NPPES is (207) 646-5211, last updated Jul 23, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Samuel Clark, FNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1720245673 a valid number?
Yes. 1720245673 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.