Mrs Shannon Marie Smith, AGACNP-BC in Toledo, OH

Mrs Shannon Marie Smith, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Toledo, Ohio. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nephrology Consultants Of Northwest Ohio, Inc and her current practice location is 5072 Goodwill Rd, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 704-8062.

Mrs Shannon Marie Smith is licensed to practice in Ohio (license number 390595) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093516338.

Contact Information

	Mrs Shannon Marie Smith, AGACNP-BC
	5072 Goodwill Rd, Toledo, OH 43613-2502
	(419) 704-8062
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Marie Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	5072 Goodwill Rd, Toledo, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shannon Marie Smith graduated from nursing school in 2022

NPI Data:

NPI Number: 1093516338
Provider Enumeration Date: 03/22/2025
Last Update Date: 03/22/2025

Medicare PECOS Information:

PECOS PAC ID: 7012432859
Enrollment ID: I20250415001095

Medical Identifiers

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

Identifier	Type	State	Issuer
1093516338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	390595 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nephrology Consultants Of Northwest Ohio, Inc	0941197172	10

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 Marie Smith allows following entities to bill medicare on her behalf.

Entity Name	Nephrology Consultants Of Northwest Ohio, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477651495 PECOS PAC ID: 0941197172 Enrollment ID: O20040302001341

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 Marie 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 Marie Smith, AGACNP-BC 5072 Goodwill Rd, Toledo, OH 43613-2502 Ph: (419) 704-8062	Mrs Shannon Marie Smith, AGACNP-BC 5072 Goodwill Rd, Toledo, OH 43613-2502 Ph: (419) 704-8062

Reviews and Comments

Nurse Practitioner Nurses in Toledo, OH

Jennifer Dawn Trost, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4360 Fax: 419-251-5117
Tearra Breeze Obafolahan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6916 Cloister Rd, Toledo, OH 43617 Phone: 567-298-2344
Rocio Crosby, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-2878
Lisa Bainter, APRN-NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2109 Hughes Dr Ste 760, Toledo, OH 43606 Phone: 419-291-7555 Fax: 419-479-2696
Janille Ann Blaylock, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-696-5555
Natalie Rae Marienthal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 W Central Ave Ste 100a, Toledo, OH 43606 Phone: 419-291-8400
Karen Caputo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4101

Mrs Shannon Marie Smith, AGACNP-BC - Medicare Nurse Practitioner in Toledo, OH