SAMANTHA ARCEDIANO PA-C
NPI 1376370304
Physician Assistant in Lake Oswego, OR

Q: What is Samantha Arcediano's NPI number?

The NPI number for Samantha Arcediano is 1376370304. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Q: What is Samantha Arcediano's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 16, 2024PECOS EnrolledAccepts Medicare Assignment

4103 MERCANTILE DR, LAKE OSWEGO, OR 97035(503) 850-9940(877) 533-6717 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Sep 16, 2024 (2 updates tracked since 2024).

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About Samantha Arcediano Pa-c NPPES

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

SAMANTHA ARCEDIANO PA-C (NPI 1376370304) is an individual physician assistant in Lake Oswego, Oregon and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376370304

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA ARCEDIANOCredential: PA-C

Location Address4103 MERCANTILE DRLake Oswego, OR 97035-2556

Mailing Address4103 Mercantile DrLake Oswego, OR 97035-2556 · (503) 850-9940 · Fax (877) 533-6717

Phone(503) 850-9940

Fax(877) 533-6717

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 16, 2024

Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1376370304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

4103 MERCANTILE DR, Lake Oswego, OR 97035

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, 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

Samantha Arcediano Pa-c 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 ID7113434721

PECOS Enrollment IDI20250729001807

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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

MISS AMANDA MAGDALENA KINDER FNP-C

Nurse Practitioner (Family)