SHANE SAMPSON MD
NPI 1306532734
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 18, 2023PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE, STE., 8C-UHC, DETROIT, MI 48201(313) 745-1302 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2025, Aug 11, 2023 (2 updates tracked since 2023).

About Shane Sampson Md NPPES

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

SHANE SAMPSON MD (NPI 1306532734) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306532734
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHANE SAMPSONCredential: MD
Location Address4201 SAINT ANTOINE, STE., 8C-UHCDetroit, MI 48201
Mailing Address3990 John R StDetroit, MI 48201-2018 · (313) 745-6035
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 18, 2023
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1306532734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 4301514609 (MI)
4201 SAINT ANTOINE, STE., Detroit, MI 48201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shane Sampson Md 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 ID4486011566
PECOS Enrollment IDI20250620002943
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

16

Medicare enrollment records show Shane Sampson reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
13244 W WARREN AVE
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • 30 clinicians in this Medicare group
Urgent Care
19959 VERNIER RD
Harper Woods, MI 48225
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group
Urgent Care
26000 HOOVER RD
Warren, MI 48089
  • Reassigned Medicare billing, Michigan enrollment
  • 60 clinicians in this Medicare group
Urgent Care
1770 FORT ST
Lincoln Park, MI 48146
  • Reassigned Medicare billing, Michigan enrollment
  • 23 clinicians in this Medicare group
Urgent Care
19335 GRAND RIVER AVE
Detroit, MI 48223
  • Reassigned Medicare billing, Michigan enrollment
  • 12 clinicians in this Medicare group
Urgent Care
24661 COOLIDGE HWY
Oak Park, MI 48237
  • Reassigned Medicare billing, Michigan enrollment
  • 31 clinicians in this Medicare group
Urgent Care
350 E 12 MILE RD
Madison Heights, MI 48071
  • Reassigned Medicare billing, Michigan enrollment
  • 16 clinicians in this Medicare group
Urgent Care
23832 SOUTHFIELD RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 41 clinicians in this Medicare group
Urgent Care
24950 W WARREN ST
Dearborn Heights, MI 48127
  • Reassigned Medicare billing, Michigan enrollment
  • 31 clinicians in this Medicare group
Urgent Care
15830 FORT ST
Southgate, MI 48195
  • Reassigned Medicare billing, Michigan enrollment
  • 23 clinicians in this Medicare group

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Sampson's NPI number?

The NPI number for Shane Sampson is 1306532734. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Shane Sampson located?

Shane Sampson practices at 4201 Saint Antoine, Ste. 8c-Uhc, Detroit, MI 48201. The listed phone number is (313) 745-1302.

What is Shane Sampson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shane Sampson enrolled in Medicare?

Yes. Shane Sampson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shane Sampson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Sampson reassigns Medicare benefits to 16 organizations: Get Well Urgent Care Dearborn Plc (Dearborn, MI), Get Well Urgent Care Harper Woods Plc (Harper Woods, MI), Hoover Urgent Care Of Warren PLLC (Warren, MI), Get Well Urgent Care Downriver Plc (Lincoln Park, MI), Get Well Urgent Care Detroit, Plc (Detroit, MI) and 11 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shane Sampson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shane Sampson was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.