ANNETTE N SAMPSON
NPI 1215241708
Nurse Practitioner - Family in Grand Ronde, OR

Q: What is Annette Sampson's NPI number?

The NPI number for Annette Sampson is 1215241708. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Q: What is Annette Sampson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Annette Sampson was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 27, 2010PECOS EnrolledAccepts Medicare Assignment

9605 GRAND RONDE RD, GRAND RONDE, OR 97347(503) 879-2002(503) 879-2071 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2024, Sep 28, 2022, Sep 9, 2022 (3 updates tracked since 2022).

On this page

About Annette N Sampson NPPES

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

ANNETTE N SAMPSON (NPI 1215241708) is an individual family provider in Grand Ronde, Oregon, licensed in Oregon (202214454NP-PP) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Willamette Valley Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2022).

NPPES Registry Identity

NPI1215241708

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANNETTE N SAMPSON

Location Address9605 GRAND RONDE RDGrand Ronde, OR 97347-9712

Mailing Address9615 Grand Ronde RdGrand Ronde, OR 97347-9712 · (503) 879-2002

Phone(503) 879-2002

Fax(503) 879-2071

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2022

Enumeration DateJuly 27, 2010

Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration

NPPES CertifiedJuly 25, 2024

✔ NPI 1215241708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 202214454NP-PP

Also ListedRegistered NurseTaxonomy 163W00000X · License 201141804RN (OR)

9605 GRAND RONDE RD, Grand Ronde, OR 97347

Open in Google Maps ↗

Other Identifiers 1

Medicaid171037OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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

Annette N Sampson 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 ID5991172926

PECOS Enrollment IDI20221104000945

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 10

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.

173 services87 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.

55 services45 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

51 services37 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

46 services36 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

26 services23 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

24 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Willamette Valley Medical Center

Acute Care Hospitals · Mcminnville, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380071

Location2700 SE Stratus Ave.Mcminnville, OR 97128 · Yamhill County

Emergency services Birthing friendly

West Valley Hospital

Critical Access Hospitals · Dallas, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381308

Location525 SE Washington StreetDallas, OR 97338 · Polk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97347 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 20

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

HEIDI KATHLEEN HICINBOTHOM

Peer Specialist