Samantha Jo Santiago, FNP - Medicare Nurse Practitioner in Portland, OR

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Samantha Jo Santiago, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Portland, Oregon. Her current practice location is 18000 Se Stark St, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 489-0567.

Samantha Jo Santiago is licensed to practice in Palau (license number 202207379NP-PP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578299772.

Contact Information

Samantha Jo Santiago, FNP
18000 Se Stark St,
Portland, OR 97233-4828
(503) 489-0567
(503) 489-0568

Map and Direction




Provider's Profile

Full NameSamantha Jo Santiago
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location18000 Se Stark St, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578299772
  • Provider Enumeration Date: 07/29/2022
  • Last Update Date: 07/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8527414341
  • Enrollment ID: I20231030002391

Medical Identifiers

Medical identifiers for Samantha Jo Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578299772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0705XRegistered Nurse - Medical-surgical 201391395RN (Oregon)Secondary
363LP2300XNurse Practitioner - Primary Care 202207379NP-PP (Palau)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Jo Santiago allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Jo Santiago is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Jo Santiago, FNP
13863 Se Falcon Ave,
Clackamas, OR 97015-3643

Ph: (503) 704-8692		Samantha Jo Santiago, FNP
18000 Se Stark St,
Portland, OR 97233-4828

Ph: (503) 489-0567

Reviews and Comments


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Phone: 971-361-7700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.