Samantha Mullis, NNP
Samantha Mullis, NNP is a Critical Care Neonatal Nurse Practitioner in Bend, OR, registered under NPI 1003468844. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 2500 NE NEFF RD, Bend, OR 97701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5011980 | NC | Critical Care Neonatal Nurse Practitioner primary |
| 5011980 | NC | Neonatal Nurse Practitioner |
This provider holds licence 5011980 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 2365988904
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neonatal, Critical Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LN0005X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LN0005X | Critical Care Neonatal Nurse Practitioner Neonatal, Critical Care | 5011980 | NC | primary |
| 363LN0000X | Neonatal Nurse Practitioner Neonatal | 5011980 | NC |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003468844 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 11, 2019 |
| Last updated | Apr 1, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | NNP |
| Practice address |
2500 NE NEFF RD Bend, OR 97701 (541) 382-4321 Fax (541) 706-7068 |
| Mailing address |
200 HAWTHORNE LN Charlotte, NC 28204 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 4 | 6 | 8 | 8 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 8 | 6 | 7 | 8 | 8 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.