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

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: October 18, 2026.

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

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
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

Secondary Practice Locations 2

Location 18071 Upatoi RdgUpatoi, GA 31829-2161 · Phone (706) 289-4876
Location 22000 16th AveColumbus, GA 31901 · Phone (706) 320-3770

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

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.

Medicare Billing Reassignments

3

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

Community Based Residential Treatment Facility, Mental Illness
307 W COTA ST
Shelton, WA 98584
  • Reassigned Medicare billing, Washington enrollment
  • 76 clinicians in this Medicare group
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
Obstetrics & Gynecology
6801 RIVER RD STE 301
Columbus, GA 31904
  • Reassigned Medicare billing, Georgia enrollment
  • 292 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.

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.

Nurse's Aide
307 W COTA ST
SHELTON, WA 98584
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Registered Nurse
307 W COTA ST
SHELTON, WA 98584
Counselor
307 W COTA ST
SHELTON, WA 98584
Licensed Practical Nurse
307 W COTA ST
SHELTON, WA 98584
Counselor (Mental Health)
307 W COTA ST
SHELTON, WA 98584

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 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.

Where is Charniece Smith located?

Charniece Smith practices at 307 W Cota St, Shelton, WA 98584. The listed phone number is (360) 205-8004.

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.

Is Charniece Smith enrolled in Medicare?

Yes. Charniece 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 organizations bill Medicare for Charniece Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charniece Smith reassigns Medicare benefits to 3 organizations: Telecare Mental Health Services Of Washington, Inc (Shelton, WA), Personal Recovery Network LLC (Stockbridge, GA) and St. Francis Physician Practices LLC (Columbus, GA). 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 Charniece Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charniece Smith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Charniece 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 Charniece Smith affiliated with any hospitals?

According to CMS data, Charniece Smith is affiliated with St Francis Hospital- Emory Healthcare.

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.