SAMANTHA R TRAVIS PA-C
NPI 1447084587
Physician Assistant in Portland, OR

Q: What is Samantha Travis's NPI number?

The NPI number for Samantha Travis is 1447084587. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Q: What is Samantha Travis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Travis was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 August 30, 2024PECOS EnrolledAccepts Medicare Assignment

9427 SW BARNES RD STE 593, PORTLAND, OR 97225(503) 216-8670 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samantha R Travis Pa-c NPPES

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

SAMANTHA R TRAVIS PA-C (NPI 1447084587) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA222607) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1447084587

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAMANTHA R TRAVISCredential: PA-C

Location Address9427 SW BARNES RD STE 593Portland, OR 97225-6640

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 216-8670

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 30, 2024

Last NPPES UpdateFebruary 27, 2025

NPPES CertifiedFebruary 27, 2025

✔ NPI 1447084587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OR · PA222607

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.

9427 SW BARNES RD STE 593, Portland, OR 97225

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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 R Travis 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 ID2668908773

PECOS Enrollment IDI20241212003524

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 2

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380004

Location9205 SW Barnes RoadPortland, OR 97225 · Washington County

Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380037

Location1001 Providence DriveNewberg, OR 97132 · Yamhill County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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.

Other Providers at the Same Location NPPES 5

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

ERIC BLAINE KIRKER MD

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