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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHUBA SAMUEL FNP, PMHNP
NPI 1326324385
Nurse Practitioner - Psychiatric/Mental Health in Appleton, WI

Active since October 21, 2011PECOS EnrolledAccepts Medicare Assignment
10 TRI PARK WAY # WI, APPLETON, WI 54914(920) 831-0070 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, Sep 26, 2024, May 15, 2024 and 1 more (4 updates tracked since 2018).

About Shuba Samuel Fnp, Pmhnp NPPES

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

SHUBA SAMUEL FNP, PMHNP (NPI 1326324385) is an individual psychiatric/mental health provider in Appleton, Wisconsin, licensed in Wisconsin (4599) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1326324385
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHUBA SAMUELCredential: FNP, PMHNP
Location Address10 TRI PARK WAY # WIAppleton, WI 54914-1658
Mailing Address718 Range StManistique, MI 49854-1644
Phone(920) 831-0070
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 21, 2011
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1326324385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 4599
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4599 (WI)
10 TRI PARK WAY # WI, Appleton, WI 54914
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Secondary Practice Location 1

Location 14650 S Howell AveMilwaukee, WI 53207-5908 · Phone (414) 376-5577

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and more.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

Shuba Samuel Fnp, Pmhnp 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 ID3678749538
PECOS Enrollment IDI20111228000058
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 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
60 services47 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
30 services27 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
24 services15 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.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54914 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Shuba Samuel's NPI number?

The NPI number for Shuba Samuel is 1326324385. It was assigned to this individual provider in the NPPES registry on October 21, 2011.

Where is Shuba Samuel located?

Shuba Samuel practices at 10 Tri Park Way # Wi, Appleton, WI 54914. The listed phone number is (920) 831-0070.

What is Shuba Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shuba Samuel enrolled in Medicare?

Yes. Shuba Samuel 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.

What insurance does Shuba Samuel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and UnitedHealthcare list Shuba Samuel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shuba Samuel was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.