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MRS. SHANNON TAYLOR SMITH CPNP
NPI 1023474251
Nurse Practitioner - Pediatrics in Norfolk, VA

Active since January 04, 2016PECOS Enrolled
171 KEMPSVILLE RD BLDG A, NORFOLK, VA 23502(757) 668-6550(757) 668-6545 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2025, Sep 10, 2018 (2 updates tracked since 2018).

About Mrs. Shannon Taylor Smith Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON TAYLOR SMITH CPNP (NPI 1023474251) is an individual pediatrics provider in Norfolk, Virginia, licensed in Virginia (0024172592) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1023474251
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. SHANNON TAYLOR SMITHCredential: CPNP
Location Address171 KEMPSVILLE RD BLDG ANorfolk, VA 23502-4700
Mailing Address601 Childrens LnNorfolk, VA 23507-1910 · (757) 668-7878 · Fax (757) 668-7883
Phone(757) 668-6550
Fax(757) 668-6545
Sole ProprietorNo
Enumeration DateJanuary 4, 2016
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1023474251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in VA · 0024172592
171 KEMPSVILLE RD BLDG A, Norfolk, VA 23502
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1500 Discovery DrChesapeake, VA 23320-3871 · Phone (757) 668-6550 · Fax (757) 668-6545
Location 2601 Childrens LnNorfolk, VA 23507-1910 · Phone (757) 668-6550 · Fax (757) 668-6545
Location 32021 Concert DrVirginia Beach, VA 23456-8082 · Phone (757) 668-6550 · Fax (757) 668-6545
Location 41924 Landstown Centre WayVirginia Beach, VA 23456-1624 · Phone (757) 668-6550 · Fax (757) 668-6545
Location 511783 Rock Landing DrNewport News, VA 23606-4431 · Phone (757) 668-6550 · Fax (757) 668-6545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon Taylor Smith Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Surgical Specialty Group, Inc
6.3 mi
Pediatric Surgery
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 67 clinicians in this Medicare group
NPI 1245248947 (757) 668-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER R GORDON
Physician Assistant
171 KEMPSVILLE RD BLDG A
NORFOLK, VA 23502
Norfolk City (757) 668-6550
MRS. LETITIA ANN JANSSEN
Physician Assistant
171 KEMPSVILLE RD BLDG A
NORFOLK, VA 23502
Norfolk City (757) 668-6550
SARAH ELIZABETH OBUDZINSKI
Orthopaedic Surgery
171 KEMPSVILLE RD BLDG A
NORFOLK, VA 23502
Norfolk City (757) 668-7000
DANIELLE EVANGELISTA GETTY FNP
Nurse Practitioner (Family)
171 KEMPSVILLE RD BLDG A
NORFOLK, VA 23502
Norfolk City (757) 668-6550
DR. WILLIAM K ROACHE MD
Orthopaedic Surgery
171 KEMPSVILLE RD BLDG A
NORFOLK, VA 23502
Norfolk City (757) 668-6550
ATLANTIC INTERNAL MEDICINE
Internal Medicine
171 KEMPSVILLE RD BLDG A
NORFOLK, VA 23502
Norfolk City (757) 975-4695
DR. RAMON A MATAWARAN MD
Internal Medicine
171 KEMPSVILLE RD BLDG A
NORFOLK, VA 23502
Norfolk City (757) 975-4695
MARY KAYE TYSON PT
Physical Therapist (Pediatrics)
171 KEMPSVILLE RD BLDG A
NORFOLK, VA 23502
Norfolk City (757) 668-6581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Smith's NPI number?

The NPI number for Shannon Smith is 1023474251. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Where is Shannon Smith located?

Shannon Smith practices at 171 Kempsville Rd Bldg A, Norfolk, VA 23502. The listed phone number is (757) 668-6550.

What is Shannon Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Shannon Smith enrolled in Medicare?

Yes. Shannon Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Smith reassigns Medicare benefits to Children's Surgical Specialty Group, Inc (Norfolk, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Smith was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.