MRS. SAMANTHA J SHAW FNP-BC
NPI 1871280347
Nurse Practitioner - Family in Long Beach, CA

Active since April 24, 2023PECOS EnrolledAccepts Medicare Assignment
200 OCEANGATE STE 100, LONG BEACH, CA 90802(864) 466-2656 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 10, 2026, Dec 26, 2025 (2 updates tracked since 2025).

About Mrs. Samantha J Shaw Fnp-bc NPPES

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

MRS. SAMANTHA J SHAW FNP-BC (NPI 1871280347) is an individual family provider in Long Beach, California, licensed in South Carolina (27295) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871280347
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SAMANTHA J SHAWCredential: FNP-BC
Location Address200 OCEANGATE STE 100Long Beach, CA 90802-4317
Mailing Address457b Highway 123Seneca, SC 29678-0842 · (864) 888-4464
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 24, 2023
Last NPPES UpdateJanuary 10, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2026
NPI 1871280347 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
Licenses Licensed in SC · 27295 Licensed in UT · 14256449-4405 Licensed in TX · 1218783
200 OCEANGATE STE 100, Long Beach, CA 90802

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

Mrs. Samantha J Shaw Fnp-bc 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 ID6305387952
PECOS Enrollment IDI20260113003161, I20260115003955
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90802 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Family Medicine
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Health Maintenance Organization
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Health Maintenance Organization
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Family Medicine
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Exclusive Provider Organization
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Nurse Practitioner (Psychiatric/Mental Health)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871280347, enumerated as an "individual" on April 24, 2023.

The provider is located at 200 OCEANGATE STE 100 LONG BEACH, CA 90802 and the phone number is (864) 466-2656.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.