Samantha A Shaw, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A136049 Issued in IA

Practice address

5100 Prairie Pkwy
Ste 302
Cedar Falls, IA 50613-8155

Phone

(319) 277-1990

Fax

(319) 277-0572

NPI assigned

Feb 1, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Samantha A Rolfes Former name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allen Hospital Hospital, Waterloo, IA, CCN 160110
• Grundy County Memorial Hospital Hospital, Grundy Center, IA, CCN 161303
• The Suites at Western Home Communities Nursing home, Cedar Falls, IA, CCN 165622

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sshaw488960@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment Care Compare group NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1336231091
  Care Compare affiliation
• Grundy County Memorial Hospital

  • Critical Access Hospital
  • Grundy Center, IA
  • NPI 1821055989
  Care Compare affiliation
• Martin Health Center, Inc.

  dba The Suites at Western Home Communities

  • Skilled Nursing Facility
  • Cedar Falls, IA
  • NPI 1669971487

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1366980138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 PRAIRIE PKWY",
            "address_2": "STE 302",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138155",
            "telephone_number": "319-277-1990",
            "fax_number": "319-277-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 PRAIRIE PKWY",
            "address_2": "STE 302",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138155",
            "telephone_number": "319-277-1990",
            "fax_number": "319-277-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A136049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ROLFES",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Rae Searfoss, P.T.
• Dawn Kay Seibold, MSPT
• Jeffrey L Sell, RPH
• Madison I Shatek, PA-C
• Esther Shatzer, OTR/L
• Beth Jolynn Shea
• Ali Jo Sheahan
• Elizabeth Mary Shover, ARNP
• Siefken Counseling Services LLC (Rooted Mind Counseling)
• Chelsea Marie Siefken, LMHC

• Family Nurse Practitioner in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.