DR. SHANNON LEIGH SMITH (AUD) – Audiologist, NPI 1154408102

DR. SHANNON LEIGH SMITH (AUD) is a healthcare provider. based in Mt pleasant, Michigan. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 1601000386 (MI). The NPI Number for DR. SHANNON LEIGH SMITH (AUD) is 1154408102

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON LEIGH SMITH (AUD)
NPI
1154408102
Phone
(989) 773-1209
Address
1290 E BROOMFIELD ST
Enumeration Date
1 November 2006
Last Update Date
7 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
1456442375
Group Practice PAC ID
7012009301
Professional Enrollment ID
I20070807000714
Address ID
MI488584449MT1290XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

302 QUALIFIED AUDIOLOGIST in MI

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Provider Addresses for DR. SHANNON LEIGH SMITH (AUD)

  • 1290, East Broomfield Street, Mount Pleasant, Union Township, Isabella County, Michigan, 48858, United States

    MT PLEASANT, MI 488584449

    Phone: (989) 773-1209

    Fax: (989) 773-4267

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-08-07

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
I20070807000714IQualified AudiologistMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test5252$0
92567Test to assess middle ear function4141$0
View full utilization report →

Insurance plans in this area (ZIP 48858)

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Provider's Procedures

DR. SHANNON LEIGH SMITH (AUD) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTMI92567Eardrum testing using ear probe6161

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: 7012009301View full group profile
NameSpecialtyState
Qualified AudiologistMI

Reviews

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Frequently asked questions

What number should I use to identify DR. SHANNON LEIGH SMITH (AUD) for billing?
Administrative and clinical systems typically use NPI 1154408102 for DR. SHANNON LEIGH SMITH (AUD).
Quick check: is DR. SHANNON LEIGH SMITH (AUD) active?
Public NPPES data shows DR. SHANNON LEIGH SMITH (AUD) with an active NPI status right now.
What services align with DR. SHANNON LEIGH SMITH (AUD)'s listing?
DR. SHANNON LEIGH SMITH (AUD)'s public classification highlights Audiologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SHANNON LEIGH SMITH (AUD)?
DR. SHANNON LEIGH SMITH (AUD) is associated with Mt Pleasant, Michigan in the same public data insurers reference.
Who maintains DR. SHANNON LEIGH SMITH (AUD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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Allied Hearing

Audiologist
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