Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHJADE CAROLINA SMITH APRN, CNP
NPI 1710696919
Nurse Practitioner - Psychiatric/Mental Health in Kansas City, MO

Active since November 16, 2022PECOS Enrolled
6025 NE 119TH ST, KANSAS CITY, MO 64156(605) 261-4106 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 4, 2026, Nov 5, 2025, May 28, 2025 and 1 more (4 updates tracked since 2022).

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

NPI1710696919
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHJADE CAROLINA SMITHCredential: APRN, CNP
Location Address6025 NE 119TH STKansas City, MO 64156-1099
Mailing Address6025 Ne 119th StKansas City, MO 64156-1099
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 16, 2022
Last NPPES UpdateSeptember 4, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
NPI 1710696919 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 SD · CP002571 Licensed in MN · 10387
6025 NE 119TH ST, Kansas City, MO 64156

Other Names 1

Former Name (1)Shjade Heutzenroeder

Accepted 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

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.

PECOS PAC ID8921457706
PECOS Enrollment IDI20231206001724, I20241010003006
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.

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.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

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.

What insurance does Shjade Smith accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Montana, Quartz and Sanford 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 8 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.