Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melissa Sample, FNP

Individual provider Registered Nurse · NPI 1922250364

Melissa Sample, FNP is a Nurse Practitioner in Chiloquin, Oregon. Qualified in 2008, 18 years ago. Practices with Icco LLC, a 133-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
18
Licensed in
OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

103 Waso
Chiloquin, OR 97624
Phone: (541) 880-2011
Fax: (541) 783-3273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 200850150NP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 099000635RN (OR)

Record details

NPI number1922250364
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 16, 2008
Last updated in NPPESJanuary 15, 2015
Mailing address2074 S 6th St, Klamath Falls, OR 97601-3372

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Chiloquin