Samantha Medkiff, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

884678 Issued in TX

Practice address

875 Oak St SE Ste 3095
Salem, OR 97301-3854

Phone

(503) 561-8170

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of Washington - TCSGroup PAC ID 6800240102, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
• Providence Portland Medical Center Hospital, Portland, OR, CCN 380061

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospitalist Medicine Physicians of Washington - TCS

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1649816380

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthetic Solutions, Inc

  • Certified Registered Nurse Anesthetist
  • Medford, OR
  • NPI 1477022259

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gorge Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • The Dalles, OR
  • NPI 1831469386

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Tuality Anesthesia Services, LLC

  • Anesthesiology Physician
  • Hillsboro, OR
  • NPI 1508174012
  Medicare reassignment
• Columbia Gorge Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • The Dalles, OR
  • NPI 1386898435
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services - Oregon

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1003991845
  Care Compare affiliation
• Providence Health & Services - Oregon

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1114015971
  Care Compare affiliation
• Providence Health & Services - Oregon

  • Case Manager/Care Coordinator
  • Portland, OR
  • NPI 1891822995

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1194457952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHGIAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49201",
            "telephone_number": "800-516-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 3095",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013854",
            "telephone_number": "503-561-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDKIFF",
        "first_name": "SAMANTHA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "884678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiri Sobenski Meas, AA
• Debra L Medford, LPN
• Medical Center Eye Clinic LLC
• Medicinal Innovations
• Jorge Medina
• Adrienne Mee, NP-C
• Marilyn Darlene Meeker, MS, CRC, QMHP
• Roberta Susan Meeker, RPH
• Austin Lanier Meeks, CADC-1, PWS
• Colleen Evon Mefford

• Certified Registered Nurse Anesthetist in Salem, OR
• Providers in Salem, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.