Shane Samuel
NPI 1558112565 · Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Samuel is a Psychiatric/Mental Health Nurse Practitioner provider in Mesa, AZ (NPI 1558112565).
Provider details
- NPI number
- 1558112565
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-28
- Last updated
- 2024-07-12
- Certified
- 2024-07-12
Frequently asked questions
- What is Shane Samuel's NPI number?
- Shane Samuel's National Provider Identifier (NPI) is 1558112565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Samuel's specialty?
- Shane Samuel is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shane Samuel located?
- Shane Samuel's practice location on file with NPPES is 10512 E Nichols Ave., Mesa, AZ 85209.
- What is Shane Samuel's phone number?
- The practice phone number listed in the NPPES registry for Shane Samuel is (951) 217-9678.
- Does Shane Samuel accept Medicare?
- Shane Samuel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Samuel's NPI active?
- Yes — Shane Samuel's NPI (1558112565) is active in the NPPES registry as of the last update on 2024-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.