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SHANTELL SMITH
NPI 1891570685
Nurse Practitioner in Gainesville, FL

Active since August 29, 2023PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 265-0076 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 7, 2023, Aug 29, 2023 (2 updates tracked since 2023).

About Shantell Smith NPPES

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

SHANTELL SMITH (NPI 1891570685) is an individual nurse practitioner in Gainesville, Florida, licensed in Florida (APRN11025910) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891570685
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANTELL SMITH
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing AddressPo Box 100294Gainesville, FL 32610-0294 · (352) 273-7584 · Fax (352) 392-3498
Phone(352) 265-0076
Sole ProprietorNo
Enumeration DateAugust 29, 2023
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1891570685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11025910
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 11025910 (FL)
1600 SW ARCHER RD, Gainesville, FL 32610
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shantell Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Shantell Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Clinical Practice Association Inc
Same address
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922
Rmed LLC
62 mi
Family Medicine
4348 SOUTHPOINT BLVD STE 100
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 288 clinicians in this Medicare group
NPI 1205476793 (904) 281-1915
Primary Care Solutions Jacksonville LLC
70 mi
Family Medicine
42 DAVIN CT
Ponte Vedra Beach, FL 32082
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
NPI 1407555154 (904) 490-0264
Harmonycares Complete Health Services, PLLC
500 mi
Family Medicine
317 E CAPITOL ST STE 200
Jackson, MS 39201
  • Reassigned Medicare billing, Florida enrollment
  • 117 clinicians in this Medicare group
NPI 1093543902 (855) 396-9643

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 32610 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Shantell Smith's NPI number?

The NPI number for Shantell Smith is 1891570685. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Shantell Smith located?

Shantell Smith practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-0076.

What is Shantell Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shantell Smith enrolled in Medicare?

Yes. Shantell Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shantell Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shantell Smith reassigns Medicare benefits to 4 organizations: Florida Clinical Practice Association Inc (Gainesville, FL), Rmed LLC (Jacksonville, FL), Primary Care Solutions Jacksonville LLC (Ponte Vedra Beach, FL) and Harmonycares Complete Health Services, PLLC (Jackson, MS). 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 Shantell Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shantell Smith was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.