Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Ann Shaw

Individual provider Acute Care Nurse Practitioner · NPI 1457900730

Samantha Ann Shaw is a Nurse Practitioner in Winter Park, Florida. Qualified in 2019, 7 years ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1605 W Fairbanks Ave
Winter Park, FL 32789-4603
Phone: (407) 845-8356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 E Rollins St, Orlando, FL 32803-1248 — (407) 303-6611

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN11003385 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 11003385 (FL)

Record details

NPI number1457900730
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2019
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Florida Hospital Medical Group Inc — 1715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Winter Park