SHINY SAMUEL NP
NPI 1689170375
Nurse Practitioner - Primary Care in Cary, NC
About Shiny Samuel Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHINY SAMUEL NP (NPI 1689170375) is an individual primary care provider in Cary, North Carolina, licensed in North Carolina (5010430) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shiny Samuel Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27518 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shiny Samuel's NPI number?
The NPI number for Shiny Samuel is 1689170375. It was assigned to this individual provider in the NPPES registry on April 2, 2018.
Where is Shiny Samuel located?
Shiny Samuel practices at 550 New Waverly Pl Ste 105, Cary, NC 27518. The listed phone number is (919) 233-2022.
What is Shiny Samuel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Shiny Samuel enrolled in Medicare?
Yes. Shiny Samuel is registered in the Medicare PECOS enrollment system.
What insurance does Shiny Samuel accept?
Health plans from Blue Cross and Blue Shield of NC list Shiny Samuel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shiny Samuel was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Shiny Samuel, NP · NPI 1689170375
Primary Care physician in Cary, North Carolina. Individual provider, active in the CMS NPPES registry since April 2, 2018.
## Identity
- **NPI:** 1689170375 (Entity type: Individual)
- **Enumerated:** April 2, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 5010430 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 NEW WAVERLY PL STE 105, Cary, NC 27518-7412
- **Phone:** (919) 233-2022
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 2, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1689170375) · Data from the CMS NPPES public registry.