DAVID SHANE SMITH
NPI 1508370198
Counselor - Mental Health in Dubuque, IA

Active since November 19, 2017PECOS EnrolledAccepts Medicare Assignment
2485 MARYVILLE DR, DUBUQUE, IA 52001(563) 590-8847 Get Directions Write a Review

NPPES record last updated: November 19, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David Shane Smith NPPES

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

DAVID SHANE SMITH (NPI 1508370198) is an individual mental health provider in Dubuque, Iowa, licensed in Iowa (254) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1508370198
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID SHANE SMITH
Location Address2485 MARYVILLE DRDubuque, IA 52001-1663
Mailing Address2485 Maryville DrDubuque, IA 52001-1663
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 19, 2017
✔ NPI 1508370198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 254
2485 MARYVILLE DR, Dubuque, IA 52001

Accepted Insurance

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

David Shane Smith 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 ID3779005988
PECOS Enrollment IDI20250318000456
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 Reassignment

Medicare enrollment records show David Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Iowa enrollment
  • 20 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.

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 David Smith's NPI number?

The NPI number for David Smith is 1508370198. It was assigned to this individual provider in the NPPES registry on November 19, 2017.

Where is David Smith located?

David Smith practices at 2485 Maryville Dr, Dubuque, IA 52001. The listed phone number is (563) 590-8847.

What is David Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is David Smith enrolled in Medicare?

Yes. David 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 organization bills Medicare for David Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Smith reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The 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 David Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Smith accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list David 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.

When was this NPI record last updated?

The NPPES record for David Smith was last updated on November 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.