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SAMANTHA DESHAW FNP
NPI 1700565322
Nurse Practitioner - Family in New Hartford, NY

Active since July 12, 2023PECOS EnrolledAccepts Medicare Assignment
4401 MIDDLE SETTLEMENT RD, NEW HARTFORD, NY 13413(315) 733-1148 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Jul 12, 2023 (2 updates tracked since 2023).

About Samantha Deshaw Fnp NPPES

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

SAMANTHA DESHAW FNP (NPI 1700565322) is an individual family provider in New Hartford, New York, licensed in New York (F352014) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains a secondary practice location in Liverpool.

NPPES Registry Identity

NPI1700565322
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA DESHAWCredential: FNP
Location Address4401 MIDDLE SETTLEMENT RDNew Hartford, NY 13413-5331
Mailing Address111 Hospital DrUtica, NY 13502-2517 · (315) 801-8848
Phone(315) 733-1148
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 12, 2023
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1700565322 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 · F352014
4401 MIDDLE SETTLEMENT RD, New Hartford, NY 13413
Open in Google Maps ↗

Other Names 1

Former Name (1)Samantha Augustine Fnp

Secondary Practice Location 1

Location 14811 Buckley RdLiverpool, NY 13088-3676 · Phone (315) 457-9966 · Fax (315) 457-9854

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Deshaw Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395106413
PECOS Enrollment IDI20230804001332
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
112 services95 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services85 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
85 services85 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13413 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

MR. DONALD HICKS OPAC
Specialist/Technologist, Other (Orthopedic Assistant)
4401 MIDDLE SETTLEMENT RD, SUITE 102
NEW HARTFORD, NY 13413
Oneida County (315) 735-4496
SANDRA GAETANO FNP
Nurse Practitioner (Family)
4401 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY 13413
Oneida County (315) 738-1835
CHARLES P STEFAN RPA-C
Physician Assistant (Surgical)
4401 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY 13413
Oneida County (315) 735-4496
DR. JUSTIN-THEODORE HUNTER GONDECK PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4401 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY 13413
Oneida County (470) 487-4159
DR. LORA LYNN PAPANDREA MD
Obstetrics & Gynecology
4401 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY 13413
Oneida County (315) 624-6848
DR. GREG STEVEN ORLANDO MD
Plastic Surgery (Surgery of the Hand)
4401 MIDDLE SETTLEMENT RD, SUITE 102
NEW HARTFORD, NY 13413
Oneida County (315) 735-4496
ANNE MOORE PA
Physician Assistant
4401 MIDDLE SETTLEMENT RD
NEW HARTFORD, NY 13413
Oneida County (315) 735-4496
WILLIAM FRANK LINDSEY MD
Surgery
4401 MIDDLE SETTLEMENT RD, WOUND CLINIC
NEW HARTFORD, NY 13413
Oneida County (315) 798-8345

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 Deshaw's NPI number?

The NPI number for Samantha Deshaw is 1700565322. It was assigned to this individual provider in the NPPES registry on July 12, 2023. The provider is also known as Samantha Augustine Fnp.

Where is Samantha Deshaw located?

Samantha Deshaw practices at 4401 Middle Settlement Rd, New Hartford, NY 13413. The listed phone number is (315) 733-1148.

What is Samantha Deshaw's specialty?

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

Is Samantha Deshaw enrolled in Medicare?

Yes. Samantha Deshaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samantha Deshaw affiliated with any hospitals?

According to CMS data, Samantha Deshaw is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Deshaw was last updated on September 23, 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.