SHEILA SMITH NP
NPI 1366992406
Nurse Practitioner - Family in Washington, DC

Active since October 13, 2016PECOS Enrolled
79.54/100
CMS Quality Rating
1150 VARNUM ST NE, WASHINGTON, DC 20017(202) 854-7272 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 25, 2017, Oct 13, 2016 (2 updates tracked since 2016).

About Sheila Smith Np NPPES

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

SHEILA SMITH NP (NPI 1366992406) is an individual family provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1011677) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366992406
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHEILA SMITHCredential: NP
Location Address1150 VARNUM ST NEWashington, DC 20017-2104
Mailing Address1150 Varnum St NeWashington, DC 20017-2104 · (202) 854-7272
Sole ProprietorNo
Enumeration DateOctober 13, 2016
Last NPPES UpdateJanuary 25, 20172 updates tracked since enumeration
✔ NPI 1366992406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in DC · RN1011677
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License RN1011677 (DC)
1150 VARNUM ST NE, Washington, DC 20017

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheila Smith Np 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sheila Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
3020 14TH ST NW
Washington, DC 20009
  • Reassigned Medicare billing, District of Columbia enrollment
  • 343 clinicians in this Medicare group
Maternal & Fetal Medicine
7501 GREENWAY CENTER DR STE 910
Greenbelt, MD 20770
  • Reassigned Medicare billing, District of Columbia enrollment
  • 336 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20017 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

79.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.02
Promoting Interoperability97
Improvement Activities40
Cost65.27

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.

Radiology (Diagnostic Radiology)
1150 VARNUM ST NE
WASHINGTON, DC 20017
Pathology (Anatomic Pathology & Clinical Pathology)
1150 VARNUM ST NE, PATHOLOGY DEPARTMENT
WASHINGTON, DC 20017
Physician Assistant
1150 VARNUM ST NE
WASHINGTON, DC 20017
Anesthesiology
1150 VARNUM ST NE
WASHINGTON, DC 20017
Emergency Medicine
1150 VARNUM ST NE
WASHINGTON, DC 20017
Family Medicine
1150 VARNUM ST NE, ST. CATHERINE'S HALL/1ST FL/RM 102
WASHINGTON, DC 20017
Internal Medicine
1150 VARNUM ST NE
WASHINGTON, DC 20017
Anesthesiologist Assistant
1150 VARNUM ST NE
WASHINGTON, DC 20017

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 Sheila Smith's NPI number?

The NPI number for Sheila Smith is 1366992406. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Where is Sheila Smith located?

Sheila Smith practices at 1150 Varnum St NE, Washington, DC 20017. The listed phone number is (202) 854-7272.

What is Sheila Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sheila Smith enrolled in Medicare?

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

Which organizations bill Medicare for Sheila Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Smith reassigns Medicare benefits to 3 organizations: Unity Health Care, Inc. (Washington, DC), Luminis Health Medical Group, LLC (Greenbelt, MD) and Grow Healthcare Group PA (Miami, FL). 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 Sheila 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 Sheila Smith was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.