SAMANTHA JO SANTIAGO FNP
NPI 1578299772
Nurse Practitioner - Primary Care in Clackamas, OR

Active since July 29, 2022PECOS EnrolledAccepts Medicare Assignment
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(800) 813-2000 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Jul 29, 2022 (2 updates tracked since 2022).

About Samantha Jo Santiago Fnp NPPES

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

SAMANTHA JO SANTIAGO FNP (NPI 1578299772) is an individual primary care provider in Clackamas, Oregon, licensed in Oregon (202207379NP-PP) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1578299772
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSAMANTHA JO SANTIAGOCredential: FNP
Location Address9800 SE SUNNYSIDE RDClackamas, OR 97015-9750
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000 · Fax (855) 524-5255
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 29, 2022
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
NPI 1578299772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in OR · 202207379NP-PP
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 201391395RN (OR)
9800 SE SUNNYSIDE RD, Clackamas, OR 97015

Secondary Practice Location 1

Location 118000 SE Stark StPortland, OR 97233-4828 · Phone (503) 489-0567 · Fax (503) 489-0568

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 Jo Santiago 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 ID8527414341
PECOS Enrollment IDI20231030002391
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 97015 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.

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.

Nurse Practitioner (Family)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Physician Assistant (Surgical)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Family Medicine
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Pediatrics
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

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 Santiago's NPI number?

The NPI number for Samantha Santiago is 1578299772. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Where is Samantha Santiago located?

Samantha Santiago practices at 9800 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (800) 813-2000.

What is Samantha Santiago's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Samantha Santiago enrolled in Medicare?

Yes. Samantha Santiago 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 Santiago accept?

Health plans from Kaiser Permanente list Samantha Santiago 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 Santiago was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.