MR. SAMUEL JOSEPH CROSS-SARVIS PMHNP-BC, FNP-C
NPI 1922305978
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Mr. Samuel Joseph Cross-sarvis Pmhnp-bc, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAMUEL JOSEPH CROSS-SARVIS PMHNP-BC, FNP-C (NPI 1922305978) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201707205NP-PP) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Snohomish.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Samuel Joseph Cross-sarvis Pmhnp-bc, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samuel Cross-sarvis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Everett, WA 98203
- Reassigned Medicare billing, Washington enrollment
- 82 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Samuel Cross-sarvis's NPI number?
The NPI number for Samuel Cross-sarvis is 1922305978. It was assigned to this individual provider in the NPPES registry on February 25, 2011.
Where is Samuel Cross-sarvis located?
Samuel Cross-sarvis practices at 5263 NE Martin Luther King Jr Blvd, Portland, OR 97211. The listed phone number is (503) 217-4455.
What is Samuel Cross-sarvis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Samuel Cross-sarvis enrolled in Medicare?
Yes. Samuel Cross-sarvis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samuel Cross-sarvis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Cross-sarvis reassigns Medicare benefits to Compass Health (Everett, WA). 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 Samuel Cross-sarvis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Cross-sarvis accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Samuel Cross-sarvis 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 Samuel Cross-sarvis was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Samuel Joseph Cross-Sarvis, PMHNP-BC, FNP-C · NPI 1922305978
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since February 25, 2011.
## Identity
- **NPI:** 1922305978 (Entity type: Individual)
- **Enumerated:** February 25, 2011
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 201707205NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 5263 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97211-3235
- **Phone:** (503) 217-4455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Compass Health (NPI 1730136201, Everett, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1922305978) · Data from the CMS NPPES public registry.