DR. SHANNON LEIGH SMITH-STEPHENS DNP, APRN
NPI 1215968003
Nurse Practitioner in Olive Hill, KY

Q: What is Shannon Smith-stephens's NPI number?

The NPI number for Shannon Smith-stephens is 1215968003. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Shannon Smith-stephens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 06, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 18D2168466 · Waiver

6902B GRAHN RD, OLIVE HILL, KY 41164(606) 922-0121(606) 548-5019 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2021, Feb 24, 2021, Oct 23, 2020 and 3 more (6 updates tracked since 2018).

On this page

About Dr. Shannon Leigh Smith-stephens Dnp, Aprn NPPES

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

DR. SHANNON LEIGH SMITH-STEPHENS DNP, APRN (NPI 1215968003) is an individual nurse practitioner in Olive Hill, Kentucky, licensed in Kentucky (3003796) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 30, 2027, and is affiliated with King's Daughters' Medical Center.

NPPES Registry Identity

NPI1215968003

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. SHANNON LEIGH SMITH-STEPHENSCredential: DNP, APRN

Location Address6902B GRAHN RDOlive Hill, KY 41164-8147

Mailing Address6902b Grahn RdOlive Hill, KY 41164-8147 · (606) 922-0121 · Fax (606) 548-5019

Phone(606) 922-0121

Fax(606) 548-5019

Sole ProprietorYes

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2002

Enumeration DateJuly 6, 2006

Last NPPES UpdateJuly 12, 20216 updates tracked since enumeration

NPPES CertifiedJuly 12, 2021

✔ NPI 1215968003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 3003796

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3003796 (KY)

6902B GRAHN RD, Olive Hill, KY 41164

Open in Google Maps ↗

Other Identifiers 4

Other000000609845KY · Anthem Bcbs

Medicaid78010220KY

Medicaid2826311OH

Other000000298213KY · Anthem Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. Shannon Leigh Smith-stephens Dnp, Aprn 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 ID9335299072

PECOS Enrollment IDI20190716003107

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2168466

Shannon L Smith-Stephens, Dnp, Aprn-Bc, PLLC · Olive Hill, KY

Active · expires Jun 30, 2027

CLIA Number18D2168466

Laboratory TypePractitioner Other

Certificate Effective DateJuly 1, 2025

Certificate Expiration DateJune 30, 2027

Laboratory DirectorMs. Shannon L. Smith-Stephens

Laboratory Phone(606) 922-0121

Laboratory LocationShannon L Smith-Stephens, Dnp, Aprn-Bc, PLLC6902B Grahn Rd, Olive Hill, KY 41164

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

69 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services14 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY

3/5 CMS rating

OwnershipGovernment - Federal

CMS Certification Number180018

Location222 Medical CircleMorehead, KY 40351 · Rowan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41164 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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

Breast Cancer Screening

56%34 patients3/55-star benchmark: 93%

Colorectal Cancer Screening

21%82 patients1/55-star benchmark: 88%

Diabetes: Eye Exam

0%24 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

83%24 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

66%537 patients3/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

23%189 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 31% · 120 patients

18%120 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

SHANNON L. SMITH-STEPHENS, DNP, APRN-BC, PLLC

Nurse Practitioner (Family)

6902B GRAHN RD
OLIVE HILL, KY 41164

Carter County (606) 922-0121

MISS CHARLA BURCHETT APRN

Nurse Practitioner

6902B GRAHN RD
OLIVE HILL, KY 41164

Carter County (606) 286-0440

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-stephens's NPI number?

The NPI number for Shannon Smith-stephens is 1215968003. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Shannon Smith-stephens located?

Shannon Smith-stephens practices at 6902B Grahn Rd, Olive Hill, KY 41164. The listed phone number is (606) 922-0121.

What is Shannon Smith-stephens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Smith-stephens enrolled in Medicare?

Yes. Shannon Smith-stephens 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.

Does Shannon Smith-stephens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2168466) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shannon Smith-stephens accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Shannon Smith-stephens 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-stephens affiliated with any hospitals?

According to CMS data, Shannon Smith-stephens is affiliated with King's Daughters' Medical Center and St Claire Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Smith-stephens was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.