MR. SAMUEL MARK SHORES FNP-BC
NPI 1992477020
Nurse Practitioner - Family in Matthews, NC

Active since September 28, 2021PECOS Enrolled
630 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105(704) 495-6020(844) 620-0793 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2023, Dec 8, 2021, Nov 8, 2021 and 1 more (4 updates tracked since 2021).

About Mr. Samuel Mark Shores Fnp-bc NPPES

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

MR. SAMUEL MARK SHORES FNP-BC (NPI 1992477020) is an individual family provider in Matthews, North Carolina, licensed in North Carolina (5015329) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992477020
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SAMUEL MARK SHORESCredential: FNP-BC
Location Address630 MATTHEWS TOWNSHIP PKWYMatthews, NC 28105-5322
Mailing Address5960 Fairview Rd Ste 500Charlotte, NC 28210-3113 · (704) 495-6324
Fax(844) 620-0793
Sole ProprietorNo
Enumeration DateSeptember 28, 2021
Last NPPES UpdateJanuary 27, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
NPI 1992477020 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 NC · 5015329
630 MATTHEWS TOWNSHIP PKWY, Matthews, NC 28105

Other Identifiers 1

Other1992477020NC · 5015329

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Samuel Mark Shores Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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 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.
151 services145 patients
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.
39 services39 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
23 services23 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
17 services17 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
16 services15 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 11

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

Internal Medicine
630 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Nurse Practitioner (Adult Health)
630 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Internal Medicine
630 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Pharmacist
630 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Internal Medicine
630 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Internal Medicine
630 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Dermatology
630 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Internal Medicine
630 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105

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 Samuel Shores's NPI number?

The NPI number for Samuel Shores is 1992477020. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Samuel Shores located?

Samuel Shores practices at 630 Matthews Township Pkwy, Matthews, NC 28105. The listed phone number is (704) 495-6020.

What is Samuel Shores's specialty?

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

Is Samuel Shores enrolled in Medicare?

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

What insurance does Samuel Shores accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Samuel Shores 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 Samuel Shores was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.