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SHATERA NICOLE SMITH APRN
NPI 1073277406
Nurse Practitioner - Gerontology in Kissimmee, FL

Active since October 22, 2021PECOS Enrolled
1125 MIRANDA LN, KISSIMMEE, FL 34741(689) 204-0153 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2022, May 18, 2022, Oct 22, 2021 (3 updates tracked since 2021).

About Shatera Nicole Smith Aprn NPPES

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

SHATERA NICOLE SMITH APRN (NPI 1073277406) is an individual gerontology provider in Kissimmee, Florida, licensed in Florida (11015019) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1073277406
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHATERA NICOLE SMITHCredential: APRN
Location Address1125 MIRANDA LNKissimmee, FL 34741-0763
Mailing Address1125 Miranda LnKissimmee, FL 34741-0763 · (689) 204-0153
Phone(689) 204-0153
Sole ProprietorNo
Enumeration DateOctober 22, 2021
Last NPPES UpdateMay 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1073277406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · 11015019
1125 MIRANDA LN, Kissimmee, FL 34741
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Secondary Practice Location 1

Location 16769 Rubens CtOrlando, FL 32818-1344 · Phone (407) 443-0596

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shatera Nicole Smith Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34741 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

SIMONMED IMAGING FLORIDA LLC
Radiology (Diagnostic Radiology)
1125 MIRANDA LN
KISSIMMEE, FL 34741
Osceola County (689) 204-0153

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 Shatera Smith's NPI number?

The NPI number for Shatera Smith is 1073277406. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Where is Shatera Smith located?

Shatera Smith practices at 1125 Miranda Ln, Kissimmee, FL 34741. The listed phone number is (689) 204-0153.

What is Shatera Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shatera Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shatera Smith was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.