SAMANTHA FRY FNP
NPI 1235704537
Nurse Practitioner - Family in Eugene, OR

Active since May 20, 2021PECOS EnrolledAccepts Medicare Assignment
91.06/100
CMS Quality Rating
360 S GARDEN WAY STE 290, EUGENE, OR 97401(541) 868-9700(541) 683-1709 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2025, May 20, 2021 (2 updates tracked since 2021).

About Samantha Fry Fnp NPPES

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

SAMANTHA FRY FNP (NPI 1235704537) is an individual family provider in Eugene, Oregon, licensed in Oregon (10006209) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235704537
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA FRYCredential: FNP
Location Address360 S GARDEN WAY STE 290Eugene, OR 97401-8175
Mailing AddressPo Box 70368Springfield, OR 97475-0120 · (541) 868-9700 · Fax (541) 246-2353
Fax(541) 683-1709
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 20, 2021
Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
NPI 1235704537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in OR · 10006209 Licensed in ID · 67450
360 S GARDEN WAY STE 290, Eugene, OR 97401

Secondary Practice Locations 2

Location 1330 S Garden Way Ste 220Eugene, OR 97401-8178 · Phone (541) 686-7007
Location 21475 N Cole RdBoise, ID 83704-8537 · Phone (208) 809-2880

Accepted 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

Samantha Fry Fnp 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 ID9739580804
PECOS Enrollment IDI20230807000030
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.23
Promoting Interoperability100
Improvement Activities40
Cost75.99

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology
360 S GARDEN WAY STE 290
EUGENE, OR 97401
Obstetrics & Gynecology
360 S GARDEN WAY STE 290
EUGENE, OR 97401
Obstetrics & Gynecology
360 S GARDEN WAY STE 290
EUGENE, OR 97401
Physician Assistant
360 S GARDEN WAY STE 290
EUGENE, OR 97401

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 Fry's NPI number?

The NPI number for Samantha Fry is 1235704537. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Samantha Fry located?

Samantha Fry practices at 360 S Garden Way Ste 290, Eugene, OR 97401. The listed phone number is (541) 868-9700.

What is Samantha Fry's specialty?

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

Is Samantha Fry enrolled in Medicare?

Yes. Samantha Fry 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.

What insurance does Samantha Fry accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Samantha Fry 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.

When was this NPI record last updated?

The NPPES record for Samantha Fry was last updated on October 31, 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.