SHAMERA SAMUEL
NPI 1356288070
Nurse Practitioner - Family in Coon Rapids, MN
About Shamera Samuel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAMERA SAMUEL (NPI 1356288070) is an individual family provider in Coon Rapids, Minnesota, licensed in Minnesota (14177) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Shamera Samuel 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.
Medicare Billing Reassignment
Medicare enrollment records show Shamera Samuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55403
- Reassigned Medicare billing, Minnesota enrollment
- 5 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shamera Samuel's NPI number?
The NPI number for Shamera Samuel is 1356288070. It was assigned to this individual provider in the NPPES registry on April 30, 2026.
Where is Shamera Samuel located?
Shamera Samuel practices at 10905 Osage St NW, Coon Rapids, MN 55433. The listed phone number is (612) 434-9029.
What is Shamera Samuel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shamera Samuel enrolled in Medicare?
Yes. Shamera 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.
Which organization bills Medicare for Shamera Samuel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shamera Samuel reassigns Medicare benefits to Universal Medical Services Inc (Minneapolis, MN). The 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 Shamera Samuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shamera Samuel accept?
Health plans from HealthPartners list Shamera 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 Shamera Samuel was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shamera Samuel · NPI 1356288070
Family physician in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since April 30, 2026.
## Identity
- **NPI:** 1356288070 (Entity type: Individual)
- **Enumerated:** April 30, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 14177 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10905 OSAGE ST NW, Coon Rapids, MN 55433-4160
- **Phone:** (612) 434-9029
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Universal Medical Services Inc (NPI 1124214630, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 30, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1356288070) · Data from the CMS NPPES public registry.