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SAMANTHA NIKOLE DAVIS
NPI 1871176313
Counselor - Professional in Springfield, OR

Active since May 03, 2021PECOS Enrolled
3995 MARCOLA RD, SPRINGFIELD, OR 97477(541) 726-1465 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Nikole Davis NPPES

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

SAMANTHA NIKOLE DAVIS (NPI 1871176313) is an individual professional provider in Springfield, Oregon, licensed in Oregon (C11028) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871176313
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA NIKOLE DAVIS
Location Address3995 MARCOLA RDSpringfield, OR 97477-7948
Mailing Address3995 Marcola RdSpringfield, OR 97477-7948 · (541) 726-1465
Phone(541) 726-1465
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 3, 2021
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1871176313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C11028
3995 MARCOLA RD, Springfield, OR 97477
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Nikole Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567942998
PECOS Enrollment IDI20260216001924
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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
2,373 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Oregon enrollment
  • 60 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DAWN EDWARDS
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
ADRIANA CONN BS
Behavior Technician
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
DAVID MURRAY
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
CALLAY QUINN BOIRE-SHEDD
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
LESLIE ANN PRIETO
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
THE CHILD CENTER
Community/Behavioral Health
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
TAYLOR LYN SORENSEN
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465
EMILY SUZANNE OAKLAND
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Lane County (541) 726-1465

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 Davis's NPI number?

The NPI number for Samantha Davis is 1871176313. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Samantha Davis located?

Samantha Davis practices at 3995 Marcola Rd, Springfield, OR 97477. The listed phone number is (541) 726-1465.

What is Samantha Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samantha Davis enrolled in Medicare?

Yes. Samantha Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Davis reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Davis accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Samantha Davis 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 Davis was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.