MRS. COLTEDRA SH'NEE SMITH FNP-BC
NPI 1336498732
Nurse Practitioner - Family in Gastonia, NC
About Mrs. Coltedra Sh'nee Smith Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. COLTEDRA SH'NEE SMITH FNP-BC (NPI 1336498732) is an individual family provider in Gastonia, North Carolina, licensed in North Carolina (5012225) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Mrs. Coltedra Sh'nee Smith Fnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Coltedra Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gastonia, NC 28054
- Reassigned Medicare billing, North Carolina enrollment
- 673 clinicians in this Medicare group
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 580 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 28054 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 20
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 Coltedra Smith's NPI number?
The NPI number for Coltedra Smith is 1336498732. It was assigned to this individual provider in the NPPES registry on August 31, 2012. The provider is also known as Miss Coltedra Sh'nee Ross Fnp-Bc.
Where is Coltedra Smith located?
Coltedra Smith practices at 2555 Court Dr Ste 450, Gastonia, NC 28054. The listed phone number is (704) 671-7652.
What is Coltedra Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Coltedra Smith enrolled in Medicare?
Yes. Coltedra 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 Coltedra Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Coltedra Smith reassigns Medicare benefits to 2 organizations: Caromont Medical Group, Inc. (Gastonia, NC) and Wake Forest Emergency Providers (Statesville, NC). 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 Coltedra Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Coltedra Smith was last updated on November 27, 2020. 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.
# Mrs. Coltedra Sh'nee Smith, FNP-BC · NPI 1336498732
Family physician in Gastonia, North Carolina. Individual provider, active in the CMS NPPES registry since August 31, 2012.
## Identity
- **NPI:** 1336498732 (Entity type: Individual)
- **Enumerated:** August 31, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5012225 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2555 COURT DR STE 450, Gastonia, NC 28054
- **Phone:** (704) 671-7652 · **Fax:** (704) 671-7656
## 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): Caromont Medical Group, Inc. (NPI 1568643583, Gastonia, NC); Wake Forest Emergency Providers (NPI 1396216735, Statesville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1336498732) · Data from the CMS NPPES public registry.