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SAMANTHA LAU NURSE PRACTITIONER
NPI 1407145576
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since March 29, 2011Opted out of Medicare · through Apr 1, 2028
4949 S MACADAM AVE FL 2 #15, PORTLAND, OR 97239(714) 660-3932 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Lau Nurse Practitioner NPPES

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

SAMANTHA LAU NURSE PRACTITIONER (NPI 1407145576) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in California (665425) and active in the NPI registry since March 2011. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Hollywood.

NPPES Registry Identity

NPI1407145576
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA LAUCredential: NURSE PRACTITIONER
Location Address4949 S MACADAM AVE FL 2 #15Portland, OR 97239-3912
Mailing Address5551 Hollywood Blvd # 1050Hollywood, CA 90028-6814 · (714) 660-3932
Phone(714) 660-3932
Sole ProprietorNo
Enumeration DateMarch 29, 2011
Last NPPES UpdateMarch 9, 2021
NPPES CertifiedSeptember 4, 2020
✔ NPI 1407145576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 665425

Secondary Practice Location 1

Location 15551 Hollywood Blvd # 1050Hollywood, CA 90028-6814 · Phone (714) 660-3932

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samantha Lau Nurse Practitioner has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$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.

Frequently Asked Questions

What is Samantha Lau's NPI number?

The NPI number assigned to this healthcare provider is 1407145576, enumerated as an "individual" on March 29, 2011.

Where is the provider located?

The provider is located at 4949 S MACADAM AVE FL 2 #15 PORTLAND, OR 97239 and the phone number is (714) 660-3932.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.