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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Shay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Smithtown Family Health Np PC
Same address
Family
300 E MAIN ST STE 2
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 14 clinicians in this Medicare group
NPI 1215560776 (631) 523-7826

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 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.

Other Providers at the Same Location NPPES 8

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

EAST MAIN STREET ACUPUNCTURE PLLC
Acupuncturist
300 E MAIN ST STE 2
SMITHTOWN, NY 11787
Suffolk County (631) 780-6128
SMITHTOWN FAMILY HEALTH NP PC
Nurse Practitioner (Family)
300 E MAIN ST STE 2
SMITHTOWN, NY 11787
Suffolk County (631) 523-7826
SMITHTOWN FAMILY WELLNESS NP PC
Nurse Practitioner (Family)
300 E MAIN ST STE 2
SMITHTOWN, NY 11787
Suffolk County (904) 654-2410
DR. LUKE JANSEN PT, DPT
Physical Therapist
300 E MAIN ST STE 2
SMITHTOWN, NY 11787
Suffolk County (631) 675-9709
MISS DOREEN SMITH NURSE PRACTITIONER
Nurse Practitioner (Family)
300 E MAIN ST STE 2
SMITHTOWN, NY 11787
Suffolk County (631) 780-6126
CHRISTINA MARIE BIANCANIELLO MS, LAC
Acupuncturist
300 E MAIN ST STE 2
SMITHTOWN, NY 11787
Suffolk County (631) 780-6128
HO RHEEM RIM L.AC
Acupuncturist
300 E MAIN ST STE 2
SMITHTOWN, NY 11787
Suffolk County (781) 780-6128
SEAFORD FAMILY HEALTH NP PC
Nurse Practitioner (Family)
300 E MAIN ST STE 2
SMITHTOWN, NY 11787
Suffolk County (631) 523-7826

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 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.

Where is Samantha Shay located?

Samantha Shay practices at 300 E Main St Ste 2, Smithtown, NY 11787. The listed phone number is (631) 780-6128.

What is Samantha Shay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Shay enrolled in Medicare?

Yes. Samantha Shay is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Shay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Shay reassigns Medicare benefits to Smithtown Family Health Np PC (Smithtown, NY). 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 Samantha Shay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 22 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.