MRS. SAMANTHA SHAW MSN, APRN, FNP-C
NPI 1255977492
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Samantha Shaw's NPI number?

The NPI number for Samantha Shaw is 1255977492. It was assigned to this individual provider in the NPPES registry on November 22, 2019. The provider is also known as Ms. Samantha Krage Msn, Aprn, Fnp-C.

Q: What is Samantha Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Shaw was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 November 22, 2019PECOS Enrolled

3805 E BELL RD STE 2400, PHOENIX, AZ 85032(833) 696-3349 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 2, 2025, Feb 5, 2024, Oct 7, 2021 and 2 more (5 updates tracked since 2019).

On this page

About Mrs. Samantha Shaw Msn, Aprn, Fnp-c NPPES

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

MRS. SAMANTHA SHAW MSN, APRN, FNP-C (NPI 1255977492) is an individual family provider in Phoenix, Arizona, licensed in Arizona (264757) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255977492

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SAMANTHA SHAWCredential: MSN, APRN, FNP-C

Location Address3805 E BELL RD STE 2400Phoenix, AZ 85032-2181

Mailing Address11510 E Ranch Gate RdScottsdale, AZ 85255-8235 · (904) 599-3209

Phone(833) 696-3349

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 22, 2019

Last NPPES UpdateJanuary 2, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1255977492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 264757

Also ListedRegistered NurseTaxonomy 163W00000X · License RN214222 (AZ), 1-161951 (AL)

3805 E BELL RD STE 2400, Phoenix, AZ 85032

Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Samantha Krage Msn, Aprn, Fnp-c

Secondary Practice Locations 8

Location 13800 W Ray Rd Ste 21Chandler, AZ 85226-5940 · Phone (833) 696-3349

Location 22122 E Highland Ave Ste 265Phoenix, AZ 85016-4779 · Phone (833) 696-3349

Location 34400 N 32nd St Ste 150Phoenix, AZ 85018-3977 · Phone (833) 696-3349

Location 42918 W Ina Rd Ste 100Tucson, AZ 85741-2429 · Phone (833) 696-3349

Location 57406 N La Cholla BlvdTucson, AZ 85741-2306 · Phone (833) 696-3349

Location 63805 E Bell Rd Ste 5600Phoenix, AZ 85032-2190 · Phone (833) 696-3349

Location 75601 W Eugie Ave Ste 211Glendale, AZ 85304-1258 · Phone (833) 696-3349

Location 85605 W Eugie Ave Ste 210Glendale, AZ 85304-1275 · Phone (833) 696-3349

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, BridgeSpan Health Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Samantha Shaw Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870984701

PECOS Enrollment IDI20260908004249

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.

Medicare Billing Reassignments

Medicare enrollment records show Samantha Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arizona Infusion Centers LLC

Same address

Neurology

3805 E BELL RD STE 5600
Phoenix, AZ 85032

Reassigned Medicare billing, Arizona enrollment
8 clinicians in this Medicare group

NPI 1184351298 (833) 696-3349

Attigo Health Utah LLC

484 mi

Infectious Disease

5187 S ASCENSION WAY STE 200
Murray, UT 84123

Reassigned Medicare billing, Utah enrollment
6 clinicians in this Medicare group

NPI 1982419677 (972) 661-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Injection, dalbavancin, 5 mg J0875

Dalbavancin injection is an antibiotic used to treat severe skin infections caused by certain bacteria. The 5mg dosage is administered by healthcare professionals into a vein, usually once a week. It works by stopping the growth of bacteria.

16,000 services36 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

239 services72 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

103 services28 patients

Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366

This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.

38 services11 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

37 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 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

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

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 5

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

CENTER FOR NEUROLOGY AND SPINE PC

Psychiatry & Neurology (Neurology)