Active NPI
Samantha Fry, FNP
- Family Nurse Practitioner
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10006209
- Practice address
- 360 S Garden Way Ste 290
Eugene, OR 97401-8175 - Phone
- (541) 868-9700
- Fax
- (541) 683-1709
- NPI assigned
- May 20, 2021
- Last updated
- Oct 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10006209 | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | 67450 | ID |
Addresses
Primary practice location
360 S Garden Way Ste 290
Eugene, OR 97401-8175
Mailing address
PO Box 70368
Springfield, OR 97475-0120
Phone (541) 868-9700
Other practice location 1
330 S Garden Way Ste 220
Eugene, OR 97401-8178
Phone (541) 686-7007
Other practice location 2
1475 N Cole Rd
Boise, ID 83704-8537
Phone (208) 809-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514
Phone (541) 342-8550
330 S Garden Way
Suite 220
Eugene, OR 97401-8178
Phone (541) 686-7007
360 S Garden Way
Suite 290
Eugene, OR 97401-8175
Phone (541) 868-9700
590 Country Club Pkwy
Eugene, OR 97401-6025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67450 | ID | MD | Family Nurse Practitioner |
| 10006209 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Care, PC | Current | Accepting new patients | |
| Oregon Healthcare Resources, LLC | Current | Accepting new patients |
Locations
330 S Garden Way
Ste 220
Eugene, OR 97401
Phone (541) 686-7007
360 S Garden Way
Ste 290
Eugene, OR 97401
Phone (541) 844-1807
590 Country Club Pkwy
Ste A
Eugene, OR 97401
Phone (541) 683-1559
2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Oregon Medical Group
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
-
- Obstetrics & Gynecology Physician
- Springfield, OR
- NPI 1144250044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1235704537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70368",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974750120",
"telephone_number": "541-868-9700",
"fax_number": "541-246-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 S GARDEN WAY STE 290",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018175",
"telephone_number": "541-868-9700",
"fax_number": "541-683-1709"
}
],
"practiceLocations": [
{
"address_1": "330 S Garden Way Ste 220",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974018178",
"country_code": "US",
"telephone_number": "541-686-7007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1475 N Cole Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837048537",
"country_code": "US",
"telephone_number": "208-809-2880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRY",
"first_name": "SAMANTHA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10006209",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "67450",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.