Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SHANNON MARIE SMITH AGACNP-BC
NPI 1093516338
Nurse Practitioner - Acute Care in Toledo, OH

Active since March 22, 2025PECOS EnrolledAccepts Medicare Assignment
5072 GOODWILL RD, TOLEDO, OH 43613(419) 704-8062 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2026, Mar 22, 2025 (2 updates tracked since 2025).

About Mrs. Shannon Marie Smith Agacnp-bc NPPES

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

MRS. SHANNON MARIE SMITH AGACNP-BC (NPI 1093516338) is an individual acute care provider in Toledo, Ohio, licensed in Ohio (390595) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093516338
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. SHANNON MARIE SMITHCredential: AGACNP-BC
Location Address5072 GOODWILL RDToledo, OH 43613-2502
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595 · (419) 383-5322
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2025
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1093516338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in OH · 390595
5072 GOODWILL RD, Toledo, OH 43613

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shannon Marie Smith Agacnp-bc 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.

PECOS PAC ID7012432859
PECOS Enrollment IDI20250415001095
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43613 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 1093516338. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Where is Shannon Smith located?

Shannon Smith practices at 5072 Goodwill Rd, Toledo, OH 43613. The listed phone number is (419) 704-8062.

What is Shannon Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

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.

What insurance does Shannon Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual 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.

Is Shannon Smith affiliated with any hospitals?

According to CMS data, Shannon Smith is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Smith was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.