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

Q: 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.

Q: What is Samuel Frazier's specialty?

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

Q: 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 15 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.

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: August 02, 2026.

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

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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 Good Samaritan 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., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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

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

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

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