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SAMUEL FRAZIER APRN, CNS
NPI 1194451971
Clinical Nurse Specialist in Gresham, OR

Active since July 25, 2022PECOS EnrolledAccepts Medicare Assignment
24900 SE STARK ST STE 109, GRESHAM, OR 97030(503) 413-7162 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2025, Jul 25, 2022 (2 updates tracked since 2022).

About Samuel Frazier Aprn, Cns NPPES

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

SAMUEL FRAZIER APRN, CNS (NPI 1194451971) is an individual clinical nurse specialist in Gresham, Oregon, licensed in Oregon (10037912) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1194451971
Entity TypeIndividualMale
Primary Taxonomy364S00000X
Provider Legal NameSAMUEL FRAZIERCredential: APRN, CNS
Location Address24900 SE STARK ST STE 109Gresham, OR 97030-3381
Mailing Address2603 Carlow DrAustin, TX 78745-4346 · (512) 507-6664
Phone(503) 413-7162
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 25, 2022
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1194451971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
Licenses✔ Licensed in OR · 10037912✔ Licensed in TX · 1087151
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
24900 SE STARK ST STE 109, Gresham, OR 97030
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Secondary Practice Location 1

Location 12603 Carlow DrAustin, TX 78745-4346 · Phone (512) 507-6664

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Frazier Aprn, Cns is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315323854
PECOS Enrollment IDI20250703001824
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samuel Frazier reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Clinics LLC
10.0 mi
Rural Health
36860 INDUSTRIAL WAY
Sandy, OR 97055
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1730472192 (503) 826-0206
Legacy Good Samaritan Hospital And Medical Center
14 mi
General Acute Care Hospital
1015 NW 22ND AVE
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 387 clinicians in this Medicare group
NPI 1780608216 (503) 413-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services67 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
48 services41 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services27 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRESHAM INTERNAL MEDICINE CLINIC
Internal Medicine
24900 SE STARK ST STE 109
GRESHAM, OR 97030
Multnomah County (503) 667-1015
DAVID E STRICKLAND PA-C
Physician Assistant (Medical)
24900 SE STARK ST STE 109
GRESHAM, OR 97030
Multnomah County (503) 674-1950
EDWARD CHENG M.D,
Internal Medicine (Clinical Cardiac Electrophysiology)
24900 SE STARK ST STE 109
GRESHAM, OR 97030
Multnomah County (503) 413-7162
BRADLEY H EVANS MD
Internal Medicine (Cardiovascular Disease)
24900 SE STARK ST STE 109
GRESHAM, OR 97030
Multnomah County (503) 413-7162
DR. LAURA FLATH MD
Internal Medicine
24900 SE STARK ST STE 109
GRESHAM, OR 97030
Multnomah County (503) 674-1950
DR. AVNISH TRIPATHI M.D., PH.D., M.P.H.
Internal Medicine (Interventional Cardiology)
24900 SE STARK ST STE 109
GRESHAM, OR 97030
Multnomah County (503) 674-4100

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 Samuel Frazier's NPI number?

The NPI number for Samuel Frazier is 1194451971. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Samuel Frazier located?

Samuel Frazier practices at 24900 SE Stark St Ste 109, Gresham, OR 97030. The listed phone number is (503) 413-7162.

What is Samuel Frazier's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Samuel Frazier enrolled in Medicare?

Yes. Samuel Frazier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samuel Frazier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Frazier reassigns Medicare benefits to 2 organizations: Legacy Clinics LLC (Sandy, OR) and Legacy Good Samaritan Hospital And Medical Center (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Frazier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Frazier accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Samuel Frazier as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Frazier affiliated with any hospitals?

According to CMS data, Samuel Frazier is affiliated with Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center and Legacy Mount Hood Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Frazier was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.