Individual provider Active NPI

Samantha Fry, FNP

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1235704537
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10006209 Issued in OR
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807000030 OR Practitioner - Nurse Practitioner 9739580804 Reassigns benefits to 2 organizations

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
Womens Care PCGroup PAC ID 8820986458, 38 clinicians
Oregon Healthcare Resources LLCGroup PAC ID 4486835477, 160 clinicians

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

LicenseStateTypeSpecialty
67450IDMDFamily Nurse Practitioner
10006209ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Care, PC CurrentSince Oct 31, 2025 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Jun 19, 2023 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.

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

Verify at the official NPI Registry.