SHELLY LYNN SMITH (P.A.) – Physician Assistant, NPI 1346210697

SHELLY LYNN SMITH (P.A.) is a healthcare provider. based in Royal oak, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 5601002713 (MI). The NPI Number for SHELLY LYNN SMITH (P.A.) is 1346210697

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY LYNN SMITH (P.A.)
NPI
1346210697
Phone
(248) 398-6459
Address
221 S MAIN ST
Enumeration Date
26 January 2006
Last Update Date
11 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344623210
Graduation Year
1996 (30 years ago)
PAC ID
5395714786
Group Practice PAC ID
3375604952
Professional Enrollment ID
I20041001000587
Address ID
MI481523952LI17177DRXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for SHELLY LYNN SMITH (P.A.)

  • 221, South Main Street, Royal Oak, Oakland County, Michigan, 48067, United States

    SUITE 201

    ROYAL OAK, MI 480672653

    Phone: (248) 398-6459

    Fax: (248) 398-4770

    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 100 Open Payments records for all available years, with a total value of $1,806.

Total Amount is formed as General ($1,806) + Research ($0) + Ownership ($0) = $1,806.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($258).

Total Amount

$1,806

General + Research + Ownership

Payments

100

Total payment records

General Amount

$1,806

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2004-10-01

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
I20041001000587IPhysician AssistantMITBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes160115$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes12189$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes7070$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5252$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3225$0
View full utilization report →

Insurance plans in this area (ZIP 48067)

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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: 3375604952View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
-WA
Physician AssistantMI
-MI
Clinical PsychologistMI
-MI
Certified Clinical Nurse Specialist (Cns), Nurse PractitionerIN
Nurse PractitionerMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

How do I look up SHELLY LYNN SMITH (P.A.) by NPI?
Use NPI 1346210697 when you need to reference SHELLY LYNN SMITH (P.A.) in forms, claims, or directories.
Is SHELLY LYNN SMITH (P.A.) active in the national directory?
SHELLY LYNN SMITH (P.A.)'s public NPI profile is in an active state.
What field does SHELLY LYNN SMITH (P.A.) work in?
You can think of SHELLY LYNN SMITH (P.A.) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Does SHELLY LYNN SMITH (P.A.) practice in Michigan?
You will see Royal Oak, Michigan on file for SHELLY LYNN SMITH (P.A.) alongside any extra practice locations.
How can I contact SHELLY LYNN SMITH (P.A.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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