Samantha Leigh Clark , C-PNP
Nurse Practitioner - Pediatrics β’ Keizer, OR
4904 River Rd N
Keizer, OR 973034540
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
4904 River Rd N
Keizer, OR 973034540
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner - Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021β2025.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Keizer and Oregon
1 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Keizer, OR (218 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-07-22NUCC Taxonomy Code: 363LP0200X
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4904 RIVER RD N, KEIZER, OR 973034540 (Tel: 5033902434)
Registered at 4904 RIVER RD N, KEIZER, OR 973034540 (Tel: 5033902434)
Recorded as SAMANTHA CLARK, C-PNP
Nurse Practitioner (license number reported to NPPES: OR 10047719)
NPI status registered as active in NPPES database
Registered at 3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 972393076 (Tel: 5034947725)
Registered at 3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 972393076 (Tel: 5034947725)
Recorded as SAMANTHA CLARK, DNP STUDENT
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
4904 River Rd N
Keizer, OR 973034540
Phone: 5033902434