SAMANTHA LEANN RAFTERY PA
NPI 1689457830
Physician Assistant - Medical in Salem, OR

Active since August 14, 2023PECOS EnrolledAccepts Medicare Assignment
2485 12TH ST SE, SALEM, OR 97302(503) 363-8047 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Mar 4, 2024, Aug 14, 2023 (3 updates tracked since 2023).

About Samantha Leann Raftery Pa NPPES

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

SAMANTHA LEANN RAFTERY PA (NPI 1689457830) is an individual medical provider in Salem, Oregon, licensed in Oregon (PA218183) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689457830
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSAMANTHA LEANN RAFTERYCredential: PA
Location Address2485 12TH ST SESalem, OR 97302-2151
Mailing Address2485 12th St SeSalem, OR 97302-2151 · (503) 363-8047
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 14, 2023
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1689457830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OR · PA218183
Also ListedPhysician AssistantTaxonomy 363A00000X
2485 12TH ST SE, Salem, OR 97302

Other Names 1

Former Name (1)Samantha L Henry Pa-c

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 Leann Raftery Pa 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 ID3577910629
PECOS Enrollment IDI20231110000428
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

West Valley Hospital

Critical Access Hospitals · Dallas, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381308
Location525 SE Washington StreetDallas, OR 97338 · Polk County
Emergency services

Other Providers at the Same Location NPPES 18

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

Psychologist (Clinical)
2485 12TH ST SE, WVP BOULDER CREEK
SALEM, OR 97302
Neurological Surgery
2485 12TH ST SE
SALEM, OR 97302
Family Medicine
2485 12TH ST SE
SALEM, OR 97302
Clinic/Center (Primary Care)
2485 12TH ST SE
SALEM, OR 97302
Physician Assistant (Surgical)
2485 12TH ST SE
SALEM, OR 97302
Neurological Surgery
2485 12TH ST SE
SALEM, OR 97302
Neurological Surgery
2485 12TH ST SE
SALEM, OR 97302
Physician Assistant
2485 12TH ST SE
SALEM, OR 97302

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 Raftery's NPI number?

The NPI number for Samantha Raftery is 1689457830. It was assigned to this individual provider in the NPPES registry on August 14, 2023. The provider is also known as Samantha L Henry Pa-C.

Where is Samantha Raftery located?

Samantha Raftery practices at 2485 12th St SE, Salem, OR 97302. The listed phone number is (503) 363-8047.

What is Samantha Raftery's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samantha Raftery enrolled in Medicare?

Yes. Samantha Raftery 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 Raftery accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Samantha Raftery 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.

Is Samantha Raftery affiliated with any hospitals?

According to CMS data, Samantha Raftery is affiliated with Salem Hospital and West Valley Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Raftery was last updated on September 17, 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.