ANNETTE N SAMPSON – Family Nurse Practitioner, NPI 1215241708
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for ANNETTE N SAMPSON
1270 Kot Num Road
Warm Springs, OR 977611209
Phone: (541) 553-1196
Fax: (541) 553-2135
Type: Location
9615 GRAND RONDE RD
GRAND RONDE, OR 973479712
Phone: (503) 879-2002
Type: Mailing
9605 GRAND RONDE RD
GRAND RONDE, OR 973479712
Phone: (503) 879-2002
Fax: (503) 879-2071
Type: Location
1001 SW NYE AVE
PENDLETON, OR 978019403
Phone: (509) 823-8576
Type: Mailing
1270 KOT NUM ROAD
WARM SPRINGS, OR 977611209
Phone: (541) 553-1196
Fax: (541) 553-2135
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221104000945 | I | Nurse Practitioner | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 161 | 103 | $0 |
| G0008 | Administration of influenza virus vaccine | 43 | 43 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 41 | 38 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 41 | 38 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 36 | 36 | $0 |
Insurance plans in this area (ZIP 97761)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| - | OR | |
| Clinical Social Worker | OR | |
| Nurse Practitioner | OR | |
| E N D O C R I N O L O G Y | OR | |
| - | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.