Mrs Shannon Machelle Smith, FNP-C,PMHNP-BC in Mint Hill, NC

Mrs Shannon Machelle Smith, FNP-C,PMHNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mint Hill, North Carolina. Her current practice location is 7705 Happy Hollow Dr, Mint Hill, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 819-6428.

Mrs Shannon Machelle Smith is licensed to practice in Florida (license number APRN1009335) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790316040.

Contact Information

	Mrs Shannon Machelle Smith, FNP-C,PMHNP-BC
	7705 Happy Hollow Dr, Mint Hill, NC 28227-8518
	(704) 819-6428
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Machelle Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7705 Happy Hollow Dr, Mint Hill, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790316040
Provider Enumeration Date: 01/27/2020
Last Update Date: 01/31/2025

Medicare PECOS Information:

PECOS PAC ID: 8820481039
Enrollment ID: I20220211000714

Medical Identifiers

Medical identifiers for Mrs Shannon Machelle Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790316040	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F01200837 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	3-000628 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	0035870 (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN1009335 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	F01200837 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3-00628 (Alabama)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0035870 (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN1009335 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shannon Machelle Smith allows following entities to bill medicare on her behalf.

Entity Name	Health Providers Of America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316560972 PECOS PAC ID: 9931529948 Enrollment ID: O20230320001263

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Machelle Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Shannon Machelle Smith, FNP-C,PMHNP-BC 7705 Happy Hollow Dr, Mint Hill, NC 28227-8518 Ph: (704) 819-6428	Mrs Shannon Machelle Smith, FNP-C,PMHNP-BC 7705 Happy Hollow Dr, Mint Hill, NC 28227-8518 Ph: (704) 819-6428

Reviews and Comments

Nurse Practitioner Nurses in Mint Hill, NC

Nisha Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10545 Blair Rd, Suite 1200, Mint Hill, NC 28227 Phone: 704-863-9600
Echo Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6940 Woodbridge Valley Cir, Mint Hill, NC 28227 Phone: 704-906-8848
David Emmons, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10545 Blair Rd, Suite 1200, Mint Hill, NC 28227 Phone: 704-863-9600
Ericka Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10545 Blair Rd, Suite 1200, Mint Hill, NC 28227 Phone: 704-863-9600
Dr. Jeremy Beane, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7110 Lawyers Rd, Mint Hill, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634
Mrs. Tarra Marsh Boyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11300 Cresthill Dr Ste 100, Mint Hill, NC 28227 Phone: 980-302-3550 Fax: 980-302-3551

Mrs Shannon Machelle Smith, FNP-C,PMHNP-BC - Medicare Nurse Practitioner in Mint Hill, NC