Shauna Samuel, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Mcminnville, Tennessee. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mcminnville Medical Associates Pllc and her current practice location is
1514 Sparta St, Mcminnville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 473-8400.
Shauna Samuel is licensed to practice in Tennessee (license number 24506) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053898163.
Physician's Profile
| Full Name | Shauna Samuel |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 1514 Sparta St, Mcminnville, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shauna Samuel graduated from medical school in 2018
NPI Data:
- NPI Number: 1053898163
- Provider Enumeration Date: 07/21/2018
- Last Update Date: 09/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183976657
- Enrollment ID: I20181010003221
Medical Identifiers
Medical identifiers for Shauna Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053898163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RN0300X | Internal Medicine - Nephrology | 24506 (Tennessee) | Secondary |
| 2080P0210X | Pediatrics - Pediatric Nephrology | 24506 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 24506 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mcminnville Medical Associates Pllc | 0446269484 | 4 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shauna Samuel allows following entities to bill medicare on her behalf.
| Entity Name | Amg-livingston Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699869297 PECOS PAC ID: 1052225760 Enrollment ID: O20031120000923 |
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| Entity Name | Mcminnville Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104937267 PECOS PAC ID: 0446269484 Enrollment ID: O20060419000335 |
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| Entity Name | South Central Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20190830001905 |
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| Entity Name | Kidney Care Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932779170 PECOS PAC ID: 6406244599 Enrollment ID: O20211021002535 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shauna Samuel is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shauna Samuel, MSN, APRN, FNP-C 1514 Sparta St, Mcminnville, TN 37110-1317 Ph: (931) 473-8400 | Shauna Samuel, MSN, APRN, FNP-C 1514 Sparta St, Mcminnville, TN 37110 Ph: (931) 473-8400 |
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