1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Physician Assistant
  6. NPI Profile

SHANNON MARIE SMOTHERS PA-C
NPI 1639428147
Physician Assistant - Medical in Dallas, TX

Active since August 30, 2012PECOS EnrolledAccepts Medicare Assignment
3434 SWISS AVE STE 300, DALLAS, TX 75204(972) 817-6930(972) 817-6940 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Marie Smothers Pa-c NPPES

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

SHANNON MARIE SMOTHERS PA-C (NPI 1639428147) is an individual medical provider in Dallas, Texas, licensed in Texas (PA07635) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639428147
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON MARIE SMOTHERSCredential: PA-C
Location Address3434 SWISS AVE STE 300Dallas, TX 75204-6239
Mailing Address3434 Swiss Ave Ste 300Dallas, TX 75204-6239 · (972) 817-6930 · Fax (972) 817-6940
Phone(972) 817-6930
Fax(972) 817-6940
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 30, 2012
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1639428147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA07635
3434 SWISS AVE STE 300, Dallas, TX 75204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Shannon Marie Smothers Pa-c 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 ID2062648702
PECOS Enrollment IDI20131202000749
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services40 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
47 services38 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAALE GBARA
Family Medicine
3434 SWISS AVE STE 300
DALLAS, TX 75204
Dallas County (972) 817-6930
DR. DANA ALLISON BLEAKNEY M.D.
Family Medicine
3434 SWISS AVE STE 300
DALLAS, TX 75204
Dallas County (972) 817-6930
ROJIN NEMATI DO
Family Medicine
3434 SWISS AVE STE 300
DALLAS, TX 75204
Dallas County (972) 817-6930
DR. MELANIE LANE REED M.D.
Family Medicine
3434 SWISS AVE STE 300
DALLAS, TX 75204
Dallas County (972) 817-6930
KATRINA POWELL NP
Nurse Practitioner (Family)
3434 SWISS AVE STE 300
DALLAS, TX 75204
Dallas County (972) 817-6930
JAMES MANTIL DO
Family Medicine
3434 SWISS AVE STE 300
DALLAS, TX 75204
Dallas County (972) 817-6930

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 Smothers's NPI number?

The NPI number for Shannon Smothers is 1639428147. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Shannon Smothers located?

Shannon Smothers practices at 3434 Swiss Ave Ste 300, Dallas, TX 75204. The listed phone number is (972) 817-6930.

What is Shannon Smothers's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shannon Smothers enrolled in Medicare?

Yes. Shannon Smothers 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.

What insurance does Shannon Smothers accept?

Health plans from Blue Cross and Blue Shield of Texas list Shannon Smothers 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 Shannon Smothers affiliated with any hospitals?

According to CMS data, Shannon Smothers is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Smothers was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.