SHAQUANTALIA SMOTHERS FNP
NPI 1114587474
Nurse Practitioner - Family in Naperville, IL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shaquantalia Smothers Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Shaquantalia Smothers reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cincinnati, OH 45236
- Reassigned Medicare billing, Indiana enrollment
- 5 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Illinois, Minnesota and West Virginia enrollments
- 19 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Illinois enrollment
- 712 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 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.
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.
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 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.
Where is Shaquantalia Smothers located?
Shaquantalia Smothers practices at 852 S West St, Naperville, IL 60540. The listed phone number is (630) 305-5027.
What is Shaquantalia Smothers's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shaquantalia Smothers enrolled in Medicare?
Yes. Shaquantalia Smothers is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shaquantalia Smothers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaquantalia Smothers reassigns Medicare benefits to 3 organizations: Health Providers Of America, LLC (Cincinnati, OH), Matrix Medical Plus (Nashville, TN) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Shaquantalia Smothers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shaquantalia Smothers accept?
Health plans from CareSource list Shaquantalia Smothers 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 Shaquantalia Smothers was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Shaquantalia Smothers, FNP · NPI 1114587474
Family physician in Naperville, Illinois. Individual provider, active in the CMS NPPES registry since June 19, 2019.
## Identity
- **NPI:** 1114587474 (Entity type: Individual)
- **Enumerated:** June 19, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 041418910 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 852 S WEST ST, Naperville, IL 60540-6400
- **Phone:** (630) 305-5027
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Health Providers Of America, LLC (NPI 1316560972, Cincinnati, OH); Matrix Medical Plus (NPI 1376973461, Nashville, TN); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 19, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1114587474) · Data from the CMS NPPES public registry.