1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Surgery
  6. NPI Profile

SHANNON MAE SMITH MD
NPI 1346092434
Surgery in Grand Rapids, MI

Active since April 03, 2024PECOS Enrolled
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503(616) 391-6243 Get Directions Write a Review

NPPES record last updated: May 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2026, Jun 25, 2024, Apr 3, 2024 (3 updates tracked since 2024).

About Shannon Mae Smith Md NPPES

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

SHANNON MAE SMITH MD (NPI 1346092434) is an individual surgery provider in Grand Rapids, Michigan, licensed in Michigan (4351052861) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346092434
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSHANNON MAE SMITHCredential: MD
Location Address100 MICHIGAN ST NE STE A601Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne Ste A601Grand Rapids, MI 49503-2560 · (616) 391-6243
Phone(616) 391-6243
Sole ProprietorNo
Enumeration DateApril 3, 2024
Last NPPES UpdateMay 16, 20263 updates tracked since enumeration
NPPES CertifiedMay 16, 2026
✔ NPI 1346092434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4351052861
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
100 MICHIGAN ST NE STE A601, Grand Rapids, MI 49503
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Mae Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

ERIN LOUISE MUELLER MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
JOEL WALKER DEJONGE MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
CHRISTOPHER VISSER DO
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
CASSIDY LEIGH CLARK DO
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
CLAIRE MARIETTA MCNARY MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
VICTOR MAGANA CASTRO MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
SAMAH ABDALLA MBBS
Radiology (Diagnostic Radiology)
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-3777
KARISSA LIBSON
Student in an Organized Health Care Education/Training Program
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-3570

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 1346092434. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Shannon Smith located?

Shannon Smith practices at 100 Michigan St NE Ste A601, Grand Rapids, MI 49503. The listed phone number is (616) 391-6243.

What is Shannon Smith's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shannon Smith enrolled in Medicare?

Yes. Shannon Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Smith was last updated on May 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.