SHAMERA SAMUEL
NPI 1356288070
Nurse Practitioner - Family in Coon Rapids, MN

Q: 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.

Q: What is Shamera Samuel'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 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 3 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 April 30, 2026

10905 OSAGE ST NW, COON RAPIDS, MN 55433(612) 434-9029 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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.

NPPES Registry Identity

NPI1356288070

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHAMERA SAMUEL

Location Address10905 OSAGE ST NWCoon Rapids, MN 55433-4160

Mailing Address10905 Osage St NwCoon Rapids, MN 55433-4160 · (612) 434-9029

Phone(612) 434-9029

Sole ProprietorYes

Enumeration DateApril 30, 2026

NPPES CertifiedApril 30, 2026

✔ NPI 1356288070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in MN · 14177

10905 OSAGE ST NW, Coon Rapids, MN 55433

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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.

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 3 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.