SAMUEL SHAW-WILGOSKI PMHNP
NPI 1629834452
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family in Framingham, MA

Q: What is Samuel Shaw-wilgoski's NPI number?

The NPI number for Samuel Shaw-wilgoski is 1629834452. It was assigned to this individual provider in the NPPES registry on February 28, 2024.

Q: What is Samuel Shaw-wilgoski's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Family, with taxonomy code 364SP0810X.

Active since February 28, 2024PECOS EnrolledAccepts Medicare Assignment

1881 WORCESTER RD STE 203, FRAMINGHAM, MA 01701(860) 335-2418(508) 532-1168 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2025, Oct 7, 2024, Sep 16, 2024 (3 updates tracked since 2024).

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About Samuel Shaw-wilgoski Pmhnp NPPES

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

SAMUEL SHAW-WILGOSKI PMHNP (NPI 1629834452) is an individual psychiatric/mental health, child & family provider in Framingham, Massachusetts, licensed in Massachusetts (RN2324798) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629834452

Entity TypeIndividualMale

Primary Taxonomy364SP0810X

Provider Legal NameSAMUEL SHAW-WILGOSKICredential: PMHNP

Location Address1881 WORCESTER RD STE 203Framingham, MA 01701-5410

Mailing Address1881 Worcester Rd Ste 203Framingham, MA 01701-5410 · (508) 834-3183 · Fax (508) 532-1168

Phone(860) 335-2418

Fax(508) 532-1168

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 28, 2024

Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1629834452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0810X

License✔ Licensed in MA · RN2324798

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN2324798 (MA)

1881 WORCESTER RD STE 203, Framingham, MA 01701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Samuel Shaw-wilgoski 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 ID2860923455

PECOS Enrollment IDI20241007003328

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 Reassignment

Medicare enrollment records show Samuel Shaw-wilgoski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Progressive Therapeutics LLC

Same address

Psychiatry

1881 WORCESTER RD STE 203
Framingham, MA 01701

Reassigned Medicare billing, Massachusetts enrollment
14 clinicians in this Medicare group

NPI 1386838266 (508) 834-3183

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 01701 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NIMISH M SHAH DNP, CNS-BC

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)