CHARNIECE SMITH
NPI 1558900993
Nurse Practitioner - Psychiatric/Mental Health in Shelton, WA

Q: What is Charniece Smith's NPI number?

The NPI number for Charniece Smith is 1558900993. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Q: What is Charniece Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Charniece Smith was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 02, 2020PECOS EnrolledAccepts Medicare Assignment

307 W COTA ST, SHELTON, WA 98584(360) 205-8004(360) 839-2820 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, May 25, 2022, Jan 2, 2020 (3 updates tracked since 2020).

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About Charniece Smith NPPES

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

CHARNIECE SMITH (NPI 1558900993) is an individual psychiatric/mental health provider in Shelton, Washington, licensed in Washington (AP61154507) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital- Emory Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558900993

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCHARNIECE SMITH

Location Address307 W COTA STShelton, WA 98584-2265

Mailing Address2300 Manchester Expy Ste 2001aColumbus, GA 31904-6802 · (706) 320-3126 · Fax (706) 320-3054

Phone(360) 205-8004

Fax(360) 839-2820

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 2, 2020

Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1558900993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in WA · AP61154507✔ Licensed in GA · RN232587

307 W COTA ST, Shelton, WA 98584

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12000 16th AveColumbus, GA 31901 · Phone (706) 320-3770

Location 28071 Upatoi RdgUpatoi, GA 31829-2161 · Phone (706) 289-4876

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Charniece 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 ID7810326485

PECOS Enrollment IDI20200402000111

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.

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110129

Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98584 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

ROBERT IRWIN BROWN III CNA

Nurse's Aide