SAMANTHA JANE RILEY
NPI 1063124709
Community Health Worker in Portland, OR

Active since December 14, 2022PECOS Enrolled
9331 N DWIGHT AVE, PORTLAND, OR 97203(503) 421-3233 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2025, Dec 14, 2022 (2 updates tracked since 2022).

About Samantha Jane Riley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA JANE RILEY (NPI 1063124709) is an individual community health worker in Portland, Oregon, licensed in Oregon (THW000107596) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063124709
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameSAMANTHA JANE RILEY
Location Address9331 N DWIGHT AVEPortland, OR 97203-3583
Mailing Address9331 N Dwight AvePortland, OR 97203-3583 · (503) 421-3233
Sole ProprietorYes
Enumeration DateDecember 14, 2022
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1063124709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
License Licensed in OR · THW000107596
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
9331 N DWIGHT AVE, Portland, OR 97203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Jane Riley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Riley's NPI number?

The NPI number for Samantha Riley is 1063124709. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Samantha Riley located?

Samantha Riley practices at 9331 N Dwight Ave, Portland, OR 97203. The listed phone number is (503) 421-3233.

What is Samantha Riley's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

Is Samantha Riley enrolled in Medicare?

Yes. Samantha Riley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Riley was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.