Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053772954 Individual Practitioner Female Practitioner

Samantha Gardner , CPNP-PC

Nurse Practitioner - Pediatrics • Comanche, OK

Professional Overview & Biography Verified Profile Summary

Samantha Gardner, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Comanche, OK. Practice services are available at 513 HILLERY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

513 Hillery Rd
Suite C

Comanche, OK 735291200

Telephone 5804392000
Fax 5804395669
Associated Practice Facility / Clinic
🏢 Comanche Rx Inc Facility NPI 1770659948

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Comanche, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Comanche, OK (182 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OK 109994

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1780781179

Doctor of Pharmacy (Pharm.D.)

NPI 1912109869

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2016

Registered at 513 HILLERY RD, SUITE C, COMANCHE, OK 735291200 (Tel: 5804392000)

📍
Updated Business Mailing Address March 19, 2016

Registered at 513 HILLERY RD, SUITE C, COMANCHE, OK 735291200 (Tel: 5804392000)

👤
Provider Name / Credentials Updated March 19, 2016

Recorded as SAMANTHA GARDNER, CPNP-PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2016

Nurse Practitioner (License #109994 in OK)

🟢
Initial NPI Registration & Enumeration March 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053772954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2016
Last Update: March 19, 2016
Sole Proprietor: No

Mailing Address

513 Hillery Rd, Suite C

Comanche, OK 735291200

Phone: 5804392000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.