SAM FAULKNER SHUMWAY PA
NPI 1134468267
Physician Assistant in Glendale, AZ

Q: What is Sam Shumway's NPI number?

The NPI number for Sam Shumway is 1134468267. It was assigned to this individual provider in the NPPES registry on February 8, 2013.

Q: What is Sam Shumway's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Sam Shumway was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2013PECOS EnrolledAccepts Medicare Assignment

7734 N 59TH AVE, GLENDALE, AZ 85301(602) 569-3999(602) 569-3887 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2019, Aug 22, 2017, Aug 26, 2016 and 1 more (4 updates tracked since 2016).

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About Sam Faulkner Shumway Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM FAULKNER SHUMWAY PA (NPI 1134468267) is an individual physician assistant in Glendale, Arizona, licensed in Arizona (5284) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1134468267

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSAM FAULKNER SHUMWAYCredential: PA

Location Address7734 N 59TH AVEGlendale, AZ 85301-7816

Mailing Address1533 E Willetta StPhoenix, AZ 85006-2935 · (602) 569-3999 · Fax (602) 569-3887

Phone(602) 569-3999

Fax(602) 569-3887

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateFebruary 8, 2013

Last NPPES UpdateAugust 23, 20194 updates tracked since enumeration

✔ NPI 1134468267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 5284

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7734 N 59TH AVE, Glendale, AZ 85301

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Other Identifiers 1

Medicaid863734AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sam Faulkner Shumway Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810292737

PECOS Enrollment IDI20160301001476

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

87 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CARMEN M RIVERA M.D.

Pediatrics