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Samantha Ann Shaw

NPI 1457900730ActiveIndividual· Nurse Practitioner, Gerontology· Winter Park, FL

Nurse Practitioner, Gerontology with Florida Hospital Medical Group Inc, practicing in Winter Park, Florida. Enrolled in Medicare as practitioner - nurse practitioner. Kestra Medical Technology Services, Inc. reported $430.58 in payments in 2025, mostly food and beverage. Lists Adventhealth Orlando as a hospital affiliation.

Overview

NPI1457900730
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 9, 2019
Last updated in NPPESJul 28, 2025
Certified by providerJul 28, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Gerontology Primary363LG0600XAPRN11003385FL
Nurse Practitioner, Acute Care363LA2100X11003385FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (FL)

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$430.58 · 15 payments from 1 company
  • 2024$521.51 · 7 payments from 1 company

Top paying companies in 2025

CompanyAmountPayments
Kestra Medical Technology Services, Inc.$430.5815

What the 2025 payments were for

  • Food and Beverage$430.58 · 15 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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