SAMANTHA ANN SHAW
NPI 1457900730
Nurse Practitioner - Gerontology in Winter Park, FL
About Samantha Ann Shaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA ANN SHAW (NPI 1457900730) is an individual gerontology provider in Winter Park, Florida, licensed in Florida (APRN11003385) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Orlando.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Samantha Ann Shaw 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Orlando
Acute Care Hospitals · Orlando, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32789 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINTER PARK, FL 32789
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 Samantha Shaw's NPI number?
The NPI number for Samantha Shaw is 1457900730. It was assigned to this individual provider in the NPPES registry on September 9, 2019.
Where is Samantha Shaw located?
Samantha Shaw practices at 1605 W Fairbanks Ave, Winter Park, FL 32789. The listed phone number is (407) 845-8356.
What is Samantha Shaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Samantha Shaw enrolled in Medicare?
Yes. Samantha Shaw 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.
Is Samantha Shaw affiliated with any hospitals?
According to CMS data, Samantha Shaw is affiliated with Adventhealth Orlando.
When was this NPI record last updated?
The NPPES record for Samantha Shaw was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Samantha Ann Shaw · NPI 1457900730
Gerontology physician in Winter Park, Florida. Individual provider, active in the CMS NPPES registry since September 9, 2019.
## Identity
- **NPI:** 1457900730 (Entity type: Individual)
- **Enumerated:** September 9, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** APRN11003385 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1605 W FAIRBANKS AVE, Winter Park, FL 32789-4603
- **Phone:** (407) 845-8356
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457900730) · Data from the CMS NPPES public registry.