Active NPI
Samantha Birenbaum Griffin, FNP
- Family Nurse Practitioner
- Roseburg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201608220NP-PP
- Practice address
- 277 NW Medical Loop
Roseburg, OR 97471-1644 - Phone
- (541) 743-9003
- Fax
- (541) 284-0520
- NPI assigned
- Oct 18, 2016
- Last updated
- Oct 24, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201608220NP-PP | OR | Primary |
Addresses
Primary practice location
277 NW Medical Loop
Roseburg, OR 97471-1644
Mailing address
217 Division Ave
Eugene, OR 97404-5429
Phone (541) 743-9003
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
201 NW Medical Loop
Suite 190
Roseburg, OR 97471-8835
2510 NW Edenbower Blvd
Suite 112
Roseburg, OR 97471-8899
Phone (541) 541-4646
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 677-2452
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco LLC | Current | Accepting new patients | |
| Pacific Sports and Interventional Spine, LLC-P | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Centennial Medical Group Inc. | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients | |
| Pacific Sports and Interventional Spine, LLC | Current | Accepting new patients |
Locations
1711 Willamette St
Ste 302
Eugene, OR 97401
Phone (541) 357-4536
217 Division Ave
Eugene, OR 97404
Phone (541) 686-3791
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
277 NW Medical Loop
Roseburg, OR 97471
Phone (541) 677-2131
Organizations & group practices 6
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.
-
- Surgery Physician
- Roseburg, OR
- NPI 1518103274
-
dba Pacific Sports and Spine
- Interventional Pain Medicine Physician
- Springfield, OR
- NPI 1881186336
-
- Interventional Pain Medicine Physician
- Sutherlin, OR
- NPI 1215898564
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
dba CHI Mercy Medical Center
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1952852568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 DIVISION AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974045429",
"telephone_number": "541-743-9003",
"fax_number": "541-284-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 NW MEDICAL LOOP",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974711644",
"telephone_number": "541-743-9003",
"fax_number": "541-284-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "SAMANTHA",
"middle_name": "BIRENBAUM",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201608220NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.