Active NPI
Carlie Falk
- Physician Assistant
- Corvallis, OR
National Provider Identifier
1336867878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA222534
- Practice address
- 3620 NW Samaritan Dr Ste 201
Corvallis, OR 97330-3785 - Phone
- (541) 768-6300
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA222534 | OR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | TX |
Addresses
Primary practice location
3620 NW Samaritan Dr Ste 201
Corvallis, OR 97330-3785
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
3600 N Garfield St
Midland, TX 79705-6329
Phone (432) 620-1120
Other practice location 2
1408 Wrangler Ln
Midland, TX 79705-1663
Phone (435) 650-0247
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cfalk307519@samhealth.direct-ci.com |
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
- Physician Assistant
- Education
- Texas Tech University Health Science Center School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
3620 NW Samaritan Dr
Corvallis, OR 97330-4714
Hospital & facility affiliations
- Good Samaritan Regional Medical Center
- Samaritan Albany General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients |
Locations
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
3620 NW Samaritan Dr
Ste 201
Corvallis, OR 97330
Phone (541) 768-6300
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
- Psychiatric Hospital
- Corvallis, OR
- NPI 1336774751
-
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
Hospital & facility affiliations 38
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, OR
- NPI 1326755158
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, OR
- NPI 1346620408
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1336867878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 NW SAMARITAN DR STE 201",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303785",
"telephone_number": "541-768-6300"
}
],
"practiceLocations": [
{
"address_1": "3600 N Garfield St",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "TX",
"postal_code": "797056329",
"country_code": "US",
"telephone_number": "432-620-1120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1408 Wrangler Ln",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "TX",
"postal_code": "797051663",
"country_code": "US",
"telephone_number": "435-650-0247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALK",
"first_name": "CARLIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA222534",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cfalk307519@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3620 NW Samaritan Dr Ste 201",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303785",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.