Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Samuel Teagan Shaw, FNP-C

Individual provider Family Nurse Practitioner · NPI 1073248787

Mr. Samuel Teagan Shaw, FNP-C is a Nurse Practitioner in Twin Falls, Idaho. Qualified in 2022, 4 years ago. Practices with Sterling Provider Group, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1835 Harrison St N Unit 16104
Twin Falls, ID 83301-4294
Phone: (208) 431-3570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1039 Blake St N, Twin Falls, ID 83301-3108 — (208) 431-3570

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 73570 (ID)

Record details

NPI number1073248787
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sterling Provider Group — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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