SAMANTHA ROSE SHAY
NPI 1659188696
Nurse Practitioner - Family in Smithtown, NY

Q: What is Samantha Shay's NPI number?

The NPI number for Samantha Shay is 1659188696. It was assigned to this individual provider in the NPPES registry on December 13, 2024.

Q: What is Samantha Shay'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 Samantha Shay was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 13, 2024PECOS Enrolled

300 E MAIN ST STE 2, SMITHTOWN, NY 11787(631) 780-6128 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samantha Rose Shay NPPES

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

SAMANTHA ROSE SHAY (NPI 1659188696) is an individual family provider in Smithtown, New York, licensed in New York (F352267-01) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659188696

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA ROSE SHAY

Location Address300 E MAIN ST STE 2Smithtown, NY 11787-2900

Mailing Address14 Wilson AveNesconset, NY 11767-1937 · (631) 678-2568

Phone(631) 780-6128

Sole ProprietorNo

Enumeration DateDecember 13, 2024

NPPES CertifiedDecember 13, 2024

✔ NPI 1659188696 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 NY · F352267-01

300 E MAIN ST STE 2, Smithtown, NY 11787

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Rose Shay is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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

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