SHANNON SMITH NP
NPI 1912507419
Nurse Practitioner - Family in Texarkana, TX
About Shannon Smith Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON SMITH NP (NPI 1912507419) is an individual family provider in Texarkana, Texas, licensed in Texas (1016925) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Shannon Smith Np 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TEXARKANA, TX 75503
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 Smith's NPI number?
The NPI number for Shannon Smith is 1912507419. It was assigned to this individual provider in the NPPES registry on October 26, 2020.
Where is Shannon Smith located?
Shannon Smith practices at 1408 College Dr, Texarkana, TX 75503. The listed phone number is (903) 791-1110.
What is Shannon Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Smith enrolled in Medicare?
Yes. Shannon 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 Shannon Smith accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Shannon 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 Shannon Smith was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shannon Smith, NP · NPI 1912507419
Family physician in Texarkana, Texas. Individual provider, active in the CMS NPPES registry since October 26, 2020.
## Identity
- **NPI:** 1912507419 (Entity type: Individual)
- **Enumerated:** October 26, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1016925 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1408 COLLEGE DR, Texarkana, TX 75503-3534
- **Phone:** (903) 791-1110 · **Fax:** (903) 791-9353
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 9, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1912507419) · Data from the CMS NPPES public registry.