SHJADE CAROLINA SMITH APRN, CNP
NPI 1710696919
Nurse Practitioner - Psychiatric/Mental Health in Kansas City, MO
About Shjade Carolina Smith Aprn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHJADE CAROLINA SMITH APRN, CNP (NPI 1710696919) is an individual psychiatric/mental health provider in Kansas City, Missouri, licensed in South Dakota (CP002571) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Shjade Carolina Smith Aprn, Cnp 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.
Medicare Billing Reassignments
7Medicare enrollment records show Shjade Smith reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57108
- Reassigned Medicare billing, South Dakota enrollment
- 11 clinicians in this Medicare group
Sioux Falls, SD 57103
- Reassigned Medicare billing, South Dakota enrollment
- 41 clinicians in this Medicare group
Rochester, MN 55904
- Reassigned Medicare billing, Minnesota enrollment
- 379 clinicians in this Medicare group
Kenyon, MN 55946
- Reassigned Medicare billing, Minnesota enrollment
- 249 clinicians in this Medicare group
Winona, MN 55987
- Reassigned Medicare billing, Minnesota enrollment
- 330 clinicians in this Medicare group
Bismarck, ND 58504
- Reassigned Medicare billing, North Dakota and South Dakota enrollments
- 779 clinicians in this Medicare group
Bozeman, MT 59715
- Reassigned Medicare billing, Montana enrollment
- 402 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64156 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shjade Smith's NPI number?
The NPI number for Shjade Smith is 1710696919. It was assigned to this individual provider in the NPPES registry on November 16, 2022. The provider is also known as Shjade Heutzenroeder.
Where is Shjade Smith located?
Shjade Smith practices at 6025 NE 119th St, Kansas City, MO 64156. The listed phone number is (605) 261-4106.
What is Shjade Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shjade Smith enrolled in Medicare?
Yes. Shjade 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 Shjade Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shjade Smith reassigns Medicare benefits to 7 organizations: The Wellness Collective LLC (Sioux Falls, SD), City Of Sioux Falls (Sioux Falls, SD), Olmsted Medical Center (Rochester, MN), Northfield Hospital (Kenyon, MN), Winona Health Services (Winona, MN) and 2 more organizations, listed in the Medicare section above. 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 Shjade Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shjade Smith accept?
Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Quartz, Sanford Health Plan and Security Health Plan list Shjade 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 Shjade Smith was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.
# Shjade Carolina Smith, APRN, CNP · NPI 1710696919
Psychiatric/Mental Health physician in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since November 16, 2022.
## Identity
- **NPI:** 1710696919 (Entity type: Individual)
- **Enumerated:** November 16, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** CP002571 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6025 NE 119TH ST, Kansas City, MO 64156-1099
- **Phone:** (605) 261-4106
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): The Wellness Collective LLC (NPI 1679195580, Sioux Falls, SD); City Of Sioux Falls (NPI 1902130818, Sioux Falls, SD); Olmsted Medical Center (NPI 1952356297, Rochester, MN); Northfield Hospital (NPI 1518631407, Kenyon, MN); Winona Health Services (NPI 1295789352, Winona, MN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710696919) · Data from the CMS NPPES public registry.