MRS. SAMANTHA J SHAW FNP-BC
NPI 1871280347
Nurse Practitioner - Family in Long Beach, CA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Samantha Shaw reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Long Beach, CA 90802
- Reassigned Medicare billing, Connecticut, Idaho, South Carolina and Texas enrollments
- 86 clinicians in this Medicare group
Midvale, UT 84047
- Reassigned Medicare billing, Utah enrollment
- 75 clinicians in this Medicare group
Bothell, WA 98021
- Reassigned Medicare billing, Washington enrollment
- 207 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 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.
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.
LONG BEACH, CA 90802
LONG BEACH, CA 90802
LONG BEACH, CA 90802
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 Shaw's NPI number?
The NPI number for Samantha Shaw is 1871280347. It was assigned to this individual provider in the NPPES registry on April 24, 2023.
Where is Samantha Shaw located?
Samantha Shaw practices at 200 Oceangate Ste 100, Long Beach, CA 90802. The listed phone number is (864) 466-2656.
What is Samantha Shaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Shaw enrolled in Medicare?
Yes. Samantha Shaw 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.
Which organizations bill Medicare for Samantha Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Shaw reassigns Medicare benefits to 3 organizations: Molina Care Connections, LLC. (Long Beach, CA), Molina Healthcare Of Utah Inc (Midvale, UT) and Molina Healthcare Of Washington, Inc (Bothell, WA). Each 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 Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Shaw accept?
Health plans from Molina Healthcare list Samantha Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samantha Shaw was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Mrs. Samantha J Shaw, FNP-BC · NPI 1871280347
Family physician in Long Beach, California. Individual provider, active in the CMS NPPES registry since April 24, 2023.
## Identity
- **NPI:** 1871280347 (Entity type: Individual)
- **Enumerated:** April 24, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 27295 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 OCEANGATE STE 100, Long Beach, CA 90802-4317
- **Phone:** (864) 466-2656
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA); Molina Healthcare Of Utah Inc (NPI 1619486396, Midvale, UT); Molina Healthcare Of Washington, Inc (NPI 1659897163, Bothell, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871280347) · Data from the CMS NPPES public registry.