SAMANTHA B SHAWVER (FNP-C) – Family Nurse Practitioner, NPI 1336505049

SAMANTHA B SHAWVER (FNP-C) is a healthcare provider. based in Mesquite, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 3010278 (KY). The NPI Number for SAMANTHA B SHAWVER (FNP-C) is 1336505049

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA B SHAWVER (FNP-C)
NPI
1336505049
Phone
(702) 346-0800
Address
1301 BERTHA HOWE AVE STE 1
Enumeration Date
11 January 2016
Last Update Date
25 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6812651693
Graduation Year
2015 (11 years ago)
PAC ID
5799078358
Group Practice PAC ID
6709140320
Professional Enrollment ID
I20171009002486
Address ID
WV253041948CH4815XSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:10State licenses:3Digital endpointsOther names

2,508 NURSE PRACTITIONER in WV

Provider Addresses for SAMANTHA B SHAWVER (FNP-C)

  • Bertha Howe Avenue, Mesquite, Clark County, Nevada, 89034, United States

    MESQUITE, NV 890277503

    Phone: (702) 346-0800

    Fax: (702) 346-0801

    Type: Mailing

  • 303 6TH AVE

    SAINT ALBANS, WV 251772838

    Phone: (304) 721-9300

    Fax: (304) 721-9300

    Type: Mailing

  • 1505 MOUNT VERNON RD

    CHARLESTON, WV 253142533

    Phone: (681) 552-2990

    Type: Mailing

  • 1207 QUARRIER ST

    CHARLESTON, WV 253011826

    Phone: (681) 552-2990

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $258.

Total Amount is formed as General ($258) + Research ($0) + Ownership ($0) = $258.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($114).

Total Amount

$258

General + Research + Ownership

Payments

13

Total payment records

General Amount

$258

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171009002486INurse PractitionerWVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5513$0
View full utilization report →

Insurance plans in this area (ZIP 89027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709140320View full group profile
NameSpecialtyState
Nurse PractitionerWV

Reviews

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Frequently asked questions

What unique ID ties claims to SAMANTHA B SHAWVER (FNP-C)?
NPI 1336505049 is assigned to SAMANTHA B SHAWVER (FNP-C) under the national enumeration system.
Is SAMANTHA B SHAWVER (FNP-C) currently active in the NPI registry?
CMS-published data lists SAMANTHA B SHAWVER (FNP-C) as an active registrant.
What kind of provider is SAMANTHA B SHAWVER (FNP-C)?
The page reflects Family Nurse Practitioner for SAMANTHA B SHAWVER (FNP-C). Clinical services aligned with this taxonomy classification.
Does SAMANTHA B SHAWVER (FNP-C) practice in Nevada?
You will see Mesquite, Nevada on file for SAMANTHA B SHAWVER (FNP-C) alongside any extra practice locations.
What if Mesquite, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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