Samuel Frazier, APRN, CNS
Samuel Frazier, APRN, CNS is a Clinical Nurse Specialist in Gresham, OR, registered under NPI 1194451971.
Getting there
The practice address on file is 24900 SE STARK ST STE 109, Gresham, OR 97030. 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 |
|---|---|---|
| 10037912 | OR | Clinical Nurse Specialist primary |
| 1087151 | TX | Clinical Nurse Specialist |
Licences are recorded in 2 states: OR, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Certified Clinical Nurse Specialist (cns)
- PAC ID
- 7315323854
Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Clinical Nurse Specialist (cns). 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.
Licensed in 2 states
This provider holds licences in 2 states: Oregon and Texas. The practice address on file is in Gresham, OR, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 10037912
- Specialty
- Clinical Nurse Specialist
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Clinical Nurse Specialist covers
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. NUCC Health Care Provider Taxonomy, code 364S00000X
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 | |
|---|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | 10037912 | OR | primary |
| 364S00000X | Clinical Nurse Specialist | 1087151 | TX |
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 | 1194451971 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 25, 2022 |
| Last updated | May 8, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | APRN, CNS |
| Practice address |
24900 SE STARK ST STE 109 Gresham, OR 97030 (503) 413-7162 |
| Mailing address |
2603 CARLOW DR Austin, TX 78745 |
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 | 1 | 9 | 4 | 4 | 5 | 1 | 9 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 9 | 4 | 8 | 5 | 2 | 9 | 5 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
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.