Samantha Jo Santiago, FNP in Clackamas, OR - Medicare Nurse Practitioner

Samantha Jo Santiago, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Clackamas, Oregon. Her current practice location is 9800 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (800) 813-2000.

Samantha Jo Santiago is licensed to practice in Oregon (license number 202207379NP-PP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578299772.

Contact Information

	Samantha Jo Santiago, FNP
	9800 Se Sunnyside Rd, Clackamas, OR 97015-9750
	(800) 813-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Jo Santiago
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	9800 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578299772
Provider Enumeration Date: 07/29/2022
Last Update Date: 09/12/2025

Medicare PECOS Information:

PECOS PAC ID: 8527414341
Enrollment ID: I20231030002391

Medical Identifiers

Medical identifiers for Samantha Jo Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578299772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	201391395RN (Oregon)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	202207379NP-PP (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Jo Santiago allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Jo Santiago is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samantha Jo Santiago, FNP 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: (800) 813-2000	Samantha Jo Santiago, FNP 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 Ph: (800) 813-2000

Reviews and Comments

Nurse Practitioner Nurses in Clackamas, OR

Ms. Nancy Novig, CRNA, MS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-3860
Sharon F Maxey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880
Trisha Mendoza Lopez, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Jennifer K.w. Ching, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435
Ms. Sunny Elizabeth St. Germain, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984
Brenda Lizeth Quintero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11785 Se Falbrook Dr, Clackamas, OR 97015 Phone: 971-998-9485
Amanda Ankeny, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8645 Se Sunnybrook Blvd # 200, Clackamas, OR 97015 Phone: 503-659-1694

Samantha Jo Santiago, FNP - Medicare Nurse Practitioner in Clackamas, OR