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MELISSA SAMPLE FNP
NPI 1922250364
Nurse Practitioner - Family in Chiloquin, OR

Active since October 16, 2008PECOS EnrolledAccepts Medicare Assignment
103 WASO, CHILOQUIN, OR 97624(541) 880-2011(541) 783-3273 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melissa Sample Fnp NPPES

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

MELISSA SAMPLE FNP (NPI 1922250364) is an individual family provider in Chiloquin, Oregon, licensed in Oregon (200850150NP) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Willamette Valley Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1922250364
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA SAMPLECredential: FNP
Location Address103 WASOChiloquin, OR 97624
Mailing Address2074 S 6th StKlamath Falls, OR 97601-3372 · (541) 880-2011
Phone(541) 880-2011
Fax(541) 783-3273
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 16, 2008
Last NPPES UpdateJanuary 15, 2015
✔ NPI 1922250364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 200850150NP
Also ListedRegistered NurseTaxonomy 163W00000X · License 099000635RN (OR)
103 WASO, Chiloquin, OR 97624
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Melissa Sample 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 ID4183760424
PECOS Enrollment IDI20090930000264
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 6

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 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.
63 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 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.
31 services29 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
26 services26 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Willamette Valley Medical Center

Acute Care Hospitals · Mcminnville, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380071
Location2700 SE Stratus Ave.Mcminnville, OR 97128 · Yamhill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97624 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$107.28 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Melissa Sample's NPI number?

The NPI number for Melissa Sample is 1922250364. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Where is Melissa Sample located?

Melissa Sample practices at 103 Waso, Chiloquin, OR 97624. The listed phone number is (541) 880-2011.

What is Melissa Sample's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melissa Sample enrolled in Medicare?

Yes. Melissa Sample 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 Melissa Sample accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Melissa Sample 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 Melissa Sample affiliated with any hospitals?

According to CMS data, Melissa Sample is affiliated with Willamette Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Sample was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.