MRS. COLTEDRA SH'NEE SMITH FNP-BC
NPI 1336498732
Nurse Practitioner - Family in Gastonia, NC

Active since August 31, 2012PECOS EnrolledAccepts Medicare Assignment
2555 COURT DR STE 450, GASTONIA, NC 28054(704) 671-7652(704) 671-7656 Get Directions Write a Review

NPPES record last updated: November 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 27, 2020, Nov 12, 2019 (2 updates tracked since 2019).

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, is affiliated with Caromont Regional Medical Center, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1336498732
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. COLTEDRA SH'NEE SMITHCredential: FNP-BC
Location Address2555 COURT DR STE 450Gastonia, NC 28054
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331
Fax(704) 671-7656
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 31, 2012
Last NPPES UpdateNovember 27, 20202 updates tracked since enumeration
NPPES CertifiedNovember 27, 2020
NPI 1336498732 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
Licenses Licensed in NC · 5012225 Licensed in TN · APN0000016966
2555 COURT DR STE 450, Gastonia, NC 28054

Other Names 1

Former Name (1)Miss Coltedra Sh'nee Ross Fnp-bc

Secondary Practice Location 1

Location 1877 Jefferson AveMemphis, TN 38103-2807 · Phone (901) 545-7857 · Fax (901) 545-7260

Accepted 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

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.

PECOS PAC ID3274785324
PECOS Enrollment IDI20200224002680
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.

Hospital Affiliations CMS Care Compare

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

Surgery
2555 COURT DR STE 450
GASTONIA, NC 28054
Surgery
2555 COURT DR STE 450
GASTONIA, NC 28054
Physician Assistant
2555 COURT DR STE 450
GASTONIA, NC 28054
Nurse Practitioner (Adult Health)
2555 COURT DR STE 450
GASTONIA, NC 28054
Surgery
2555 COURT DR STE 450
GASTONIA, NC 28054
Physician Assistant
2555 COURT DR STE 450
GASTONIA, NC 28054
Physician Assistant
2555 COURT DR STE 450
GASTONIA, NC 28054
Physician Assistant
2555 COURT DR STE 450
GASTONIA, NC 28054

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.

What insurance does Coltedra Smith accept?

Health plans from Medica list Coltedra 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.

Is Coltedra Smith affiliated with any hospitals?

According to CMS data, Coltedra Smith is affiliated with Caromont Regional Medical Center.

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.