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Active NPI 1689170375 Individual Practitioner Female Practitioner

Shiny Samuel , NP

Nurse Practitioner - Primary Care • Cary, NC

Professional Overview & Biography Verified Profile Summary

Shiny Samuel, NP is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Cary, NC. Practice services are available at 550 NEW WAVERLY PL STE 105 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

550 New Waverly Pl Ste 105

Cary, NC 275187412

Telephone 9192332022
Associated Practice Facility / Clinic
🏢 Cary Medical Clinic, Pc Facility NPI 1184751372

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Cary, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.3 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Cary, NC (351 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 13 $208.08 $103.01

Medical Specialties & State Licenses

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License NC 5010430

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Ivonne Reza

Physician Assistant

NPI 1013883016
Danielle Du Fresne

Physician Assistant

NPI 1124750286
Kristine Thompson

Physician Assistant

NPI 1245158013
Dr. Neelu Agarwal , MD

Internal Medicine

NPI 1669561932

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2018

Registered at 550 NEW WAVERLY PL STE 105, CARY, NC 275187412 (Tel: 9192332022)

📍
Updated Business Mailing Address April 02, 2018

Registered at 101 DEER ISLE CT, CARY, NC 275196465 (Tel: 9199464059)

👤
Provider Name / Credentials Updated April 02, 2018

Recorded as SHINY SAMUEL, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2018

Nurse Practitioner (License #5010430 in NC)

🟢
Initial NPI Registration & Enumeration April 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689170375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2018
Last Update: April 02, 2018
Sole Proprietor: No

Mailing Address

101 Deer Isle Ct

Cary, NC 275196465

Phone: 9199464059

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.