SAMANTHA RENEE HENDRICKSON RN
NPI 1609469451
Midwife in Corvallis, OR

Q: What is Samantha Hendrickson's NPI number?

The NPI number for Samantha Hendrickson is 1609469451. It was assigned to this individual provider in the NPPES registry on February 12, 2021.

Q: What is Samantha Hendrickson's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Active since February 12, 2021PECOS Enrolled

3640 NW SAMARITAN DR STE 220, CORVALLIS, OR 97330(541) 768-5300 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Jan 21, 2026, Feb 12, 2021 (3 updates tracked since 2021).

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About Samantha Renee Hendrickson Rn NPPES

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

SAMANTHA RENEE HENDRICKSON RN (NPI 1609469451) is an individual midwife in Corvallis, Oregon, licensed in Oregon (10050587) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609469451

Entity TypeIndividualFemale

Primary Taxonomy176B00000X

Provider Legal NameSAMANTHA RENEE HENDRICKSONCredential: RN

Location Address3640 NW SAMARITAN DR STE 220Corvallis, OR 97330-3784

Mailing AddressPo Box 1189Corvallis, OR 97339-1189

Phone(541) 768-5300

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 12, 2021

Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1609469451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMidwifeOther Service Providers

Taxonomy Code176B00000X

License✔ Licensed in OR · 10050587

Definition

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

Also ListedRegistered NurseTaxonomy 163W00000X · License 202007917RN (OR)

3640 NW SAMARITAN DR STE 220, Corvallis, OR 97330

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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 (PECOS)

Samantha Renee Hendrickson Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648759225

PECOS Enrollment IDI20260204003948

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.

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.

TAMME J DAVIS DO

Obstetrics & Gynecology