Shannon Smith, PA-C
NPI 1417792912 · Physician Assistant · Woodbury, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Smith, PA-C is a Physician Assistant provider in Woodbury, MN (NPI 1417792912).
Provider details
- NPI number
- 1417792912
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-26
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Frequently asked questions
- What is Shannon Smith's NPI number?
- Shannon Smith's National Provider Identifier (NPI) is 1417792912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Smith's specialty?
- Shannon Smith is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Smith located?
- Shannon Smith's practice location on file with NPPES is 8675 Valley Creek Rd, Woodbury, MN 55125-2337.
- What is Shannon Smith's phone number?
- The practice phone number listed in the NPPES registry for Shannon Smith is (651) 241-3000.
- Does Shannon Smith accept Medicare?
- Shannon Smith is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Smith's NPI active?
- Yes — Shannon Smith's NPI (1417792912) is active in the NPPES registry as of the last update on 2024-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.