SHANNON BRANTLEY SMITH (CRNP) – Family Nurse Practitioner, NPI 1093300543

SHANNON BRANTLEY SMITH (CRNP) is a healthcare provider. based in Tuscaloosa, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1122796 (AL). The NPI Number for SHANNON BRANTLEY SMITH (CRNP) is 1093300543

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON BRANTLEY SMITH (CRNP)
NPI
1093300543
Phone
(205) 368-9377
Address
100 TOWNCENTER BLVD
Enumeration Date
6 March 2021
Last Update Date
31 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2053437300
Graduation Year
2022 (4 years ago)
PAC ID
5294261491
Group Practice PAC ID
1557686243
Professional Enrollment ID
I20241211003058
Address ID
AL352263732HO575XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for SHANNON BRANTLEY SMITH (CRNP)

  • 100 TOWNCENTER BLVD

    TUSCALOOSA, AL 354061833

    Phone: (205) 368-9377

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $654.

Total Amount is formed as General ($654) + Research ($0) + Ownership ($0) = $654.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($221).

Total Amount

$654

General + Research + Ownership

Payments

32

Total payment records

General Amount

$654

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241211003058INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35406)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557686243View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerMA
-AL
Nurse PractitionerFL
Nurse PractitionerAL
Nurse PractitionerCA
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is SHANNON BRANTLEY SMITH (CRNP) listed with a National Provider Identifier?
Yes — SHANNON BRANTLEY SMITH (CRNP) has NPI 1093300543 on file in the registry.
Would SHANNON BRANTLEY SMITH (CRNP) appear as active to a payer?
You can treat SHANNON BRANTLEY SMITH (CRNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for SHANNON BRANTLEY SMITH (CRNP)?
At a glance, SHANNON BRANTLEY SMITH (CRNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHANNON BRANTLEY SMITH (CRNP)?
Travel planning: use Tuscaloosa, Alabama as the reference point for SHANNON BRANTLEY SMITH (CRNP), then confirm.
Does SHANNON BRANTLEY SMITH (CRNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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