Active NPI
Samantha Marzorati, PA-C
- Physician Assistant
- Cave Junction, OR
National Provider Identifier
1407594930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA213989
- Practice address
- 25647 Redwood Hwy
Cave Junction, OR 97523-9332 - Phone
- (541) 592-4111
- Fax
- (541) 592-3916
- NPI assigned
- May 24, 2022
- Last updated
- Dec 13, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2762 | NE | |
| Physician Assistant | 363A00000X | PA213989 | OR | Primary |
Addresses
Primary practice location
25647 Redwood Hwy
Cave Junction, OR 97523-9332
Mailing address
1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone (541) 295-8059
Other practice location 1
575 S 70th St Ste 200
Lincoln, NE 68510-2471
Phone (402) 436-2000
Other practice location 2
6900 A St
Lincoln, NE 68510-4120
Phone (402) 436-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@nebraskaortho.exscribedirect.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
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone (541) 472-4777
25647 Redwood Hwy
Cave Junction, OR 97523-9332
Phone (541) 592-4111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2762 | NE | MD | Physician Assistant |
| PA213989 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siskiyou Community Health Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- samantha.marzorati.p1@direct.siskiyou.nextgenshare.com
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Grants Pass, OR
- NPI 1427046903
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Asante Rogue Regional Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
dba Riverside Home Health Care
- Home Health Agency
- Grants Pass, OR
- NPI 1841805223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1407594930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 NW HAWTHORNE AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261051",
"telephone_number": "541-295-8059",
"fax_number": "541-471-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25647 REDWOOD HWY",
"city": "CAVE JUNCTION",
"state": "OR",
"postal_code": "975239332",
"telephone_number": "541-592-4111",
"fax_number": "541-592-3916"
}
],
"practiceLocations": [
{
"address_1": "575 S 70th St Ste 200",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685102471",
"country_code": "US",
"telephone_number": "402-436-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6900 A St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685104120",
"country_code": "US",
"telephone_number": "402-436-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARZORATI",
"first_name": "SAMANTHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2022-12-13",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2762",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA213989",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@nebraskaortho.exscribedirect.com",
"affiliation": "N",
"address_1": "575 S 70th St Ste 200",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685102471",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cave Junction, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.