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

Nathan David Samuel, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1518593847

Nathan David Samuel, AGACNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
6
Licensed in
CA, OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (916) 320-8457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2207 Plaza Dr Ste 100, Rocklin, CA 95765-4415 — (916) 677-4744
  • 4202 Sw Corbett Ave, Portland, OR 97239-4259 — (916) 320-8457

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 201908535NP-PP (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95014504 (CA)

Record details

NPI number1518593847
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedMarch 18, 2020
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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