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SHELBY SMITH
NPI 1962885202
Nurse Practitioner - Pediatrics in Washington, DC

Active since July 06, 2015PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(301) 367-4439 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Jun 22, 2017, Jan 19, 2016 (3 updates tracked since 2016).

About Shelby Smith NPPES

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

SHELBY SMITH (NPI 1962885202) is an individual pediatrics provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1044497) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1962885202
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSHELBY SMITH
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address1417 Highland DrSilver Spring, MD 20910-1525 · (301) 367-4439
Phone(301) 367-4439
Sole ProprietorNo
Enumeration DateJuly 6, 2015
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1962885202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in DC · RN1044497✔ Licensed in NY · 382605
Also ListedRegistered NurseTaxonomy 163W00000X · License 687196 (NY)
111 MICHIGAN AVE NW, Washington, DC 20010
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Secondary Practice Location 1

Location 1135 W 70th St Apt 1JNew York, NY 10023-4462 · Phone (301) 367-4439

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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. ANDREA BADILLO MD
Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-2451
DR. TALITA MICHELLE JORDAN MD
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
YUE-HIN LOKE MD
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
ELSHADEY YAYEHYERADE BEKELE
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (301) 565-4279
NOURA AL DHAHERI MD
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
JIA LIU MD
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
DR. CHARLES JOHN BILLINGTON JR. MD
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
GINA JIN LEE PHARMD
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-4080

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 Shelby Smith's NPI number?

The NPI number for Shelby Smith is 1962885202. It was assigned to this individual provider in the NPPES registry on July 6, 2015.

Where is Shelby Smith located?

Shelby Smith practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (301) 367-4439.

What is Shelby Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Shelby Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shelby Smith was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.