DR. SHANNON MARIE SMITH MD/MPH
NPI 1043673791
Urology in Fairbanks, AK
About Dr. Shannon Marie Smith Md/mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON MARIE SMITH MD/MPH (NPI 1043673791) is an individual urology provider in Fairbanks, Alaska, licensed in Alaska (232073) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shannon Marie Smith Md/mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Shannon Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairbanks, AK 99701
- Reassigned Medicare billing, Alaska enrollment
- 172 clinicians in this Medicare group
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 2,118 clinicians in this Medicare group
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 1,001 clinicians in this Medicare group
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 15
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRBANKS, AK 99701
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 1043673791. It was assigned to this individual provider in the NPPES registry on March 31, 2016.
Where is Shannon Smith located?
Shannon Smith practices at 1650 Cowles St, Fairbanks, AK 99701. The listed phone number is (907) 458-2630.
What is Shannon Smith's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Shannon Smith enrolled in Medicare?
Yes. Shannon Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shannon Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Smith reassigns Medicare benefits to 4 organizations: Tanana Valley Clinic LLC (Fairbanks, AK), Cedars-Sinai Medical Care Foundation (Los Angeles, CA), Cedars-Sinai Medical Center (Los Angeles, CA) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). Each 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.
What insurance does Shannon Smith accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Shannon Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shannon Smith was last updated on June 12, 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.
# Dr. Shannon Marie Smith, MD/MPH · NPI 1043673791
Urology physician in Fairbanks, Alaska. Individual provider, active in the CMS NPPES registry since March 31, 2016.
## Identity
- **NPI:** 1043673791 (Entity type: Individual)
- **Enumerated:** March 31, 2016
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 232073 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 COWLES ST, Fairbanks, AK 99701-5907
- **Phone:** (907) 458-2630 · **Fax:** (907) 459-3508
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Tanana Valley Clinic LLC (NPI 1922559558, Fairbanks, AK); Cedars-Sinai Medical Care Foundation (NPI 1043826720, Los Angeles, CA); Cedars-Sinai Medical Center (NPI 1639172372, Los Angeles, CA); Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 12, 2025
- **Other identifiers:** Medicaid 1753434 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1043673791) · Data from the CMS NPPES public registry.