Shane Samuel
Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
Shane Samuel is a psychiatric/mental health nurse practitioner with a practice address in Mesa, Arizona, and NPI 1558112565, issued on Mar 28, 2024. Check the license (Arizona 308310, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shane Samuel
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License number
- 308310 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 10512 E Nichols Ave., Mesa, AZ 85209
- Phone
- (951) 217-9678
- Enumerated
- Mar 28, 2024
- Record last updated
- Jul 12, 2024
- Medicare enrollment
- Enrolled (PECOS I20241012000157); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest psychiatric/mental health nurse practitioner records → All 1,887 in Arizona → Look up another NPI →
Verify Shane Samuel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this profession
Search for license 308310Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average psychiatric/mental health nurse practitioner in 2024
17 Medicare Part D claims, against an average of 906 among the 30,717 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Peak Mental Health LLCDenver, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shane Samuel among 1,887 psychiatric/mental health nurse practitioner records in Arizona
Shane Samuel is one of 1,887 psychiatric/mental health nurse practitioner records with a practice address in Arizona. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 78% of them.
- NPI issued2024 · 78% of these records are older, 13% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2024 · median 2020 among the 1,079 with a school on file
- Record last updated2024 · 23% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
154 psychiatric/mental health nurse practitioner records list a practice address in Mesa
They are 154 of the 9,151 NPPES records with a practice address in Mesa, and 1,887 psychiatric/mental health nurse practitioner records in Arizona.
All 1,887 in Arizona → Every provider in Mesa → Psychiatric/Mental Health Nurse Practitioner nationwide →
The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes
- Shuntelle Hawk, FNP-CMesa, AZ 852091033508635
- Craig Herzog, PMHNPMesa, AZ 852091568261063
- Lindsay Mason, FNP-C; PMHNP-BCMesa, AZ 852091467859256
- Danielle Noe, NURSE PRACTITIONERMesa, AZ 852091659153070
- Trent PruittMesa, AZ 852091427974443
- Enoch Adomako, NPMesa, AZ 852101205306578
- Vanessa Curry, NPMesa, AZ 852101952326076
- Arnaldo Fargas-Rodriguez, PMHNP-BC, LMHCMesa, AZ 852101689831794
Common questions
What is Shane Samuel's NPI number?
Shane Samuel's National Provider Identifier (NPI) is 1558112565, issued on Mar 28, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Shane Samuel located?
The NPPES record lists a practice address at 10512 E Nichols Ave., Mesa, AZ, 85209. Phone: (951) 217-9678. Providers update this record themselves, so call before visiting.
How can I verify Shane Samuel's license?
NPPES lists Arizona license number 308310, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.
How much does Shane Samuel prescribe under Medicare Part D?
In 2024, Shane Samuel had 17 Medicare Part D claims; the average among psychiatric/mental health nurse practitioner prescribers was 906. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.