Individual provider Active NPI

Samantha Kandi McNerney Morris, NP

  • Nurse Practitioner
  • Medford, OR
National Provider Identifier
1215898309
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10059940 Issued in OR
Practice address
555 Black Oak Dr Ste 100
Medford, OR 97504-8491
Phone
(547) 789-7000
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10059940 OR Primary

Addresses

Primary practice location

555 Black Oak Dr Ste 100
Medford, OR 97504-8491

Mailing address

555 Black Oak Dr Ste 100
Medford, OR 97504-8491
Phone (541) 789-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2825 E Barnett Rd
Medford, OR 97504-8332

2825 E Barnett Rd MSS
Medford, OR 97504-8332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10059940ORMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1215898309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BLACK OAK DR STE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048491",
            "telephone_number": "541-789-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BLACK OAK DR STE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048491",
            "telephone_number": "547-789-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNERNEY MORRIS",
        "first_name": "SAMANTHA",
        "middle_name": "KANDI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10059940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.