SAMANTHA SHAFER BEASLEY NP
NPI 1689340507
Nurse Practitioner - Pediatrics in San Diego, CA
About Samantha Shafer Beasley Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA SHAFER BEASLEY NP (NPI 1689340507) is an individual pediatrics provider in San Diego, California, licensed in California (NP95018145) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oceanside.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 (PECOS)
Samantha Shafer Beasley 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 92123 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.
SAN DIEGO, CA 92123
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 Beasley's NPI number?
The NPI number for Samantha Beasley is 1689340507. It was assigned to this individual provider in the NPPES registry on August 19, 2021. The provider is also known as Samantha Anne Shafer Np.
Where is Samantha Beasley located?
Samantha Beasley practices at 3030 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-5846.
What is Samantha Beasley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Samantha Beasley enrolled in Medicare?
Yes. Samantha Beasley is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samantha Beasley was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Shafer Beasley, NP · NPI 1689340507
Pediatrics physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 19, 2021.
## Identity
- **NPI:** 1689340507 (Entity type: Individual)
- **Enumerated:** August 19, 2021
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** NP95018145 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3030 CHILDRENS WAY, San Diego, CA 92123-4232
- **Phone:** (858) 966-5846
## 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:** January 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689340507) · Data from the CMS NPPES public registry.