SHELLY R SMITH (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1457630774

SHELLY R SMITH (NP) is a healthcare provider. based in Portsmouth, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024169424 (VA). The NPI Number for SHELLY R SMITH (NP) is 1457630774

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY R SMITH (NP)
NPI
1457630774
Phone
(757) 654-1444
Address
4201 Greenwood Dr
Enumeration Date
4 August 2011
Last Update Date
26 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883656271
Graduation Year
2010 (16 years ago)
PAC ID
8022288075
Group Practice PAC ID
6406190826
Professional Enrollment ID
I20110830000319
Address ID
VA234524200VI3751XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:14State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for SHELLY R SMITH (NP)

  • 4201 Greenwood Dr

    Portsmouth, VA 237013250

    Phone: (757) 654-1444

    Type: Location

  • 776 Oak Grove Rd

    Chesapeake, VA 233203728

    Phone: (757) 389-7900

    Type: Location

  • 2641 Nimmo Pkwy

    Virginia Beach, VA 234569134

    Phone: (757) 263-3100

    Type: Location

  • 1309 Kempsville Rd

    Norfolk, VA 235022205

    Phone: (757) 461-5001

    Type: Location

  • 3751 Sentara Way

    Virginia Beach, VA 234524200

    Phone: (757) 901-1550

    Type: Location

  • 1604 Old Donation Pkwy

    Virginia Beach, VA 234543063

    Phone: (757) 937-7600

    Type: Location

  • 9000 ROCKVILLE PIKE NIH BLDG 10 RM 3N 210

    BETHESDA, MD 208920001

    Phone: (301) 451-4374

    Fax: (301) 480-0145

    Type: Location

  • NIH BUILDING 10 ROOM 3N 210

    BETHESDA, MD 208920001

    Phone: (301) 451-4374

    Fax: (301) 480-0145

    Type: Mailing

  • 7272 WURZBACH RD STE 601

    SAN ANTONIO, TX 782404803

    Phone: (866) 327-2400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $283.

Total Amount is formed as General ($283) + Research ($0) + Ownership ($0) = $283.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Inari Medical, Inc. ($222).

Total Amount

$283

General + Research + Ownership

Payments

5

Total payment records

General Amount

$283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-08-30

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
I20110830000319INurse PractitionerVATBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes30386$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes248108$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes13667$0
90792Psychiatric diagnostic evaluation with medical services106106$0
View full utilization report →

Insurance plans in this area (ZIP 23701)

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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: 6406190826View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm SHELLY R SMITH (NP)'s NPI?
Yes. SHELLY R SMITH (NP) is listed with NPI 1457630774 in the public NPI dataset.
Is SHELLY R SMITH (NP) listed as active for patients and plans?
The listing shows SHELLY R SMITH (NP) as active in the NPI system.
What is SHELLY R SMITH (NP)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for SHELLY R SMITH (NP) here. Clinical services aligned with this taxonomy classification.
What address line appears for SHELLY R SMITH (NP)?
SHELLY R SMITH (NP)'s geographic hint is Portsmouth, Virginia in our summary view.
Is the information about SHELLY R SMITH (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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