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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Shafer Beasley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Beasley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 562 clinicians in this Medicare group
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 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.
Which organization bills Medicare for Samantha Beasley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Beasley reassigns Medicare benefits to Rady Children's Hospital San Diego (San Diego, CA). 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 Beasley'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 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 9 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
- **Bills Medicare through:** Rady Children's Hospital San Diego (NPI 1669617197, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## 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.