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MR. SHON SAMUEL
NPI 1730974825
Nurse Practitioner - Family in Pembroke Pines, FL

Active since April 10, 2025PECOS Enrolled
12251 TAFT ST STE 301, PEMBROKE PINES, FL 33026(305) 519-9975 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Shon Samuel NPPES

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

MR. SHON SAMUEL (NPI 1730974825) is an individual family provider in Pembroke Pines, Florida, licensed in Florida (11038849) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730974825
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SHON SAMUEL
Location Address12251 TAFT ST STE 301Pembroke Pines, FL 33026-1956
Mailing Address12251 Taft St Ste 301Pembroke Pines, FL 33026-1956
Phone(305) 519-9975
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 10, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1730974825 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 FL · 11038849
12251 TAFT ST STE 301, Pembroke Pines, FL 33026
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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)

Mr. Shon Samuel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395225098
PECOS Enrollment IDI20260212002529
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 Shon Samuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wayne H Case MD PA
9.1 mi
Family Medicine
3410 W 84 ST, STE 110 BLDG F
Hialeah, FL 33018
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1609813310 (305) 558-3571

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 33026 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 2

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

LILYETTE EMILY GONZALEZ
Dentist
12251 TAFT ST STE 301
PEMBROKE PINES, FL 33026
Broward County (954) 437-7077
GENTLE TEETH OF PEMBROKE PINES
Clinic/Center (Dental)
12251 TAFT ST STE 301
PEMBROKE PINES, FL 33026
Broward County (954) 437-7077

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 Shon Samuel's NPI number?

The NPI number for Shon Samuel is 1730974825. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Shon Samuel located?

Shon Samuel practices at 12251 Taft St Ste 301, Pembroke Pines, FL 33026. The listed phone number is (305) 519-9975.

What is Shon Samuel's specialty?

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

Is Shon Samuel enrolled in Medicare?

Yes. Shon Samuel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shon Samuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shon Samuel reassigns Medicare benefits to Wayne H Case MD PA (Hialeah, FL). 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 Shon Samuel'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 Shon Samuel was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.