MR. SAMUEL JOSEPH CROSS-SARVIS PMHNP-BC, FNP-C
NPI 1922305978
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: 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.

Q: 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.

Active since February 25, 2011PECOS Enrolled

5263 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211(503) 217-4455 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2021, Sep 25, 2018, Dec 10, 2015 and 1 more (4 updates tracked since 2015).

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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.

NPPES Registry Identity

NPI1922305978

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. SAMUEL JOSEPH CROSS-SARVISCredential: PMHNP-BC, FNP-C

Location Address5263 NE MARTIN LUTHER KING JR BLVDPortland, OR 97211-3235

Mailing Address5263 Ne Martin Luther King Jr BlvdPortland, OR 97211-3235 · (503) 217-4455

Phone(503) 217-4455

Sole ProprietorNo

Enumeration DateFebruary 25, 2011

Last NPPES UpdateJuly 19, 20214 updates tracked since enumeration

NPPES CertifiedJuly 19, 2021

✔ NPI 1922305978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in OR · 201707205NP-PP✔ Licensed in WA · 60621382

Also ListedRegistered NurseTaxonomy 163W00000X · License RN00176573 (WA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95003416 (CA)

5263 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97211

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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 (PECOS)

Mr. Samuel Joseph Cross-sarvis Pmhnp-bc, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

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.

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.