Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Marie Cronk, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1417563339

Samantha Marie Cronk, AGACNP-BC is a Nurse Practitioner in Gaylord, Michigan. Qualified in 2019, 7 years ago. Practices with Eugene P Wang DO PC, a 6-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2922 D And M Dr Ste B
Gaylord, MI 49735-7417
Phone: (231) 348-3283
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 — (616) 267-7900
  • 560 W Mitchell St, Petoskey, MI 49770-2275 — (231) 487-3182

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704311250 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704311250 (MI)

Record details

NPI number1417563339
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Eugene P Wang Do Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gaylord