MR. SHANNON LEE SMITH PMHNP, MPH
NPI 1154686814
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
About Mr. Shannon Lee Smith Pmhnp, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHANNON LEE SMITH PMHNP, MPH (NPI 1154686814) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201250082NP) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Shannon Lee Smith Pmhnp, Mph 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97202
- Reassigned Medicare billing, Oregon enrollment
- 144 clinicians in this Medicare group
Portland, OR 97202
- Reassigned Medicare billing, Oregon enrollment
- 215 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 97202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
PORTLAND, OR 97202
PORTLAND, OR 97202
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 1154686814. It was assigned to this individual provider in the NPPES registry on July 9, 2012.
Where is Shannon Smith located?
Shannon Smith practices at 3930 SE Division St, Portland, OR 97202. The listed phone number is (503) 418-3900.
What is Shannon Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
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.
Which organizations bill Medicare for Shannon Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Smith reassigns Medicare benefits to 2 organizations: Oregon Health & Science University (Portland, OR) and Multnomah County (Portland, OR). 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 Shannon Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Smith accept?
Health plans from Moda Health Plan, Inc. 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.
When was this NPI record last updated?
The NPPES record for Shannon Smith was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.
# Mr. Shannon Lee Smith, PMHNP, MPH · NPI 1154686814
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 9, 2012.
## Identity
- **NPI:** 1154686814 (Entity type: Individual)
- **Enumerated:** July 9, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 201250082NP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3930 SE DIVISION ST, Portland, OR 97202-1643
- **Phone:** (503) 418-3900 · **Fax:** (503) 418-3938
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Oregon Health & Science University (NPI 1477675148, Portland, OR); Multnomah County (NPI 1720126816, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 15, 2026
- **Other identifiers:** Medicaid 22959 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1154686814) · Data from the CMS NPPES public registry.