SHAQUANTALIA SMOTHERS FNP
NPI 1114587474
Nurse Practitioner - Family in Naperville, IL

Q: What is Shaquantalia Smothers's NPI number?

The NPI number for Shaquantalia Smothers is 1114587474. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Q: What is Shaquantalia Smothers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 19, 2019PECOS Enrolled

852 S WEST ST, NAPERVILLE, IL 60540(630) 305-5027 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shaquantalia Smothers Fnp NPPES

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

SHAQUANTALIA SMOTHERS FNP (NPI 1114587474) is an individual family provider in Naperville, Illinois, licensed in Illinois (041418910) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114587474

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHAQUANTALIA SMOTHERSCredential: FNP

Location Address852 S WEST STNaperville, IL 60540-6400

Mailing Address952 Fountain PlSchererville, IN 46375-3100 · (708) 359-5071

Phone(630) 305-5027

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJune 19, 2019

✔ NPI 1114587474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 041418910

852 S WEST ST, Naperville, IL 60540

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaquantalia Smothers Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496189573

PECOS Enrollment IDI20260113003553

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 60540 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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 16

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

MARIE SAWYER

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