SHANELLE MARIE SMITH NP
NPI 1083499438
Nurse Practitioner in Malone, NY
About Shanelle Marie Smith Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANELLE MARIE SMITH NP (NPI 1083499438) is an individual nurse practitioner in Malone, New York, licensed in New York (311418) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shanelle Marie Smith Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Shanelle Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Malone, NY 12953
- Reassigned Medicare billing, New York enrollment
- 326 clinicians in this Medicare group
Plattsburgh, NY 12901
- Reassigned Medicare billing, New York enrollment
- 675 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12953 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Shanelle Smith's NPI number?
The NPI number for Shanelle Smith is 1083499438. It was assigned to this individual provider in the NPPES registry on August 25, 2023.
Where is Shanelle Smith located?
Shanelle Smith practices at 133 Park St Cardiology Department, Malone, NY 12953. The listed phone number is (518) 481-2545.
What is Shanelle Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shanelle Smith enrolled in Medicare?
Yes. Shanelle Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shanelle Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanelle Smith reassigns Medicare benefits to 2 organizations: Alice Hyde Medical Center (Malone, NY) and Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY). 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 Shanelle 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 Shanelle Smith was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shanelle Marie Smith, NP · NPI 1083499438
Nurse Practitioner physician in Malone, New York. Individual provider, active in the CMS NPPES registry since August 25, 2023.
## Identity
- **NPI:** 1083499438 (Entity type: Individual)
- **Enumerated:** August 25, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 311418 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 133 PARK ST, CARDIOLOGY DEPARTMENT, Malone, NY 12953-1244
- **Phone:** (518) 481-2545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alice Hyde Medical Center (NPI 1114954682, Malone, NY); Champlain Valley Physicians Hospital Medical Center (NPI 1033270699, Plattsburgh, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1083499438) · Data from the CMS NPPES public registry.