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Shane Ray Smith , FNP-C

Nurse Practitioner โ€ข Peoria, AZ

Active NPI 1326721796 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

10230 W Happy Valley Pkwy
Peoria, AZ 853834691

Call 6235613030 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10230 W Happy Valley Pkwy

Peoria, AZ 853834691

Telephone 6235613030
Organization at the Same NPPES Address or Phone
Honorhealth Medical Group, Llc Facility NPI 1043851793

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 4 distinct group names: 303 Emergency Physicians Pllc; Emcare - Pnx Emergency Physicians Llc; Honorhealth and 1 more. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

Medicare patients

253 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $20,079 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $15,014 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

304 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,415 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shane Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Shane Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Peoria and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Nurse Practitioner in Peoria, AZ (2024, 18 clinicians with data). Median for this group: 437. Middle half: 135 to 1,030.

Close to the middle for clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: 304. Middle half: 114 to 768.

Medicare-allowed amount

Close to the middle for clinicians listed under Nurse Practitioner in Peoria, AZ (2024, 18 clinicians with data). Median for this group: $37,712. Middle half: $12,367 to $74,248.

Close to the middle for clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: $24,217. Middle half: $9,430 to $60,508.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Nurse Practitioner in Peoria, AZ (2024, 18 clinicians with data). Median for this group: $28,536. Middle half: $9,803 to $57,586.

Close to the middle for clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: $17,824. Middle half: $6,512 to $45,984.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Peoria, AZ (2024, 19 clinicians with data). Median for this group: 420. Middle half: 233 to 1,579.

Close to the middle for clinicians listed under Nurse Practitioner in Arizona (2024, 705 clinicians with data). Median for this group: 368. Middle half: 91 to 1,188.

Part D drug cost

A lower Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Peoria, AZ (2024, 19 clinicians with data). Median for this group: $11,734. Middle half: $3,510 to $72,441.

A lower Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Arizona (2024, 705 clinicians with data). Median for this group: $19,716. Middle half: $1,586 to $167,412.

31 active clinicians are listed under Nurse Practitioner with a practice address in Peoria, AZ (1,430 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peoria

16.1% of these 31 clinicians have the CMS telehealth indicator.

58.1% of these 31 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
156 155 $255.65 $74.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
65 65 $317.15 $91.63
87804 Detection test by immunoassay with direct visual observation for influenza virus
34 17 $50.00 $16.22
71046 X-ray of chest, 2 views
31 31 $95.20 $26.45
81003 Automated urinalysis test
22 22 $6.75 $2.20
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
19 19 $154.50 $50.28
81002 Urinalysis, manual test
15 15 $10.00 $3.41
96372 Injection of drug or substance under skin or into muscle
12 12 $39.95 $11.73

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 52 490 $546.46 52
Prednisone Prednisone 36 184 $56.16 36
Cephalexin Cephalexin 34 237 $164.53 33
Azithromycin Azithromycin 33 165 $150.97 33
Fluticasone Propionate Fluticasone Propionate 28 1,260 $261.60 28
Methylprednisolone Methylprednisolone 20 120 $155.65 20
Albuterol Sulfate Hfa Albuterol Sulfate 17 418 $397.67 17
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 16 121 $79.81 16
Lidocaine Hcl Viscous Lidocaine Hcl 14 65 $134.30 14
Naproxen Naproxen 13 130 $50.43 13
Cefdinir Cefdinir 13 127 $243.27 13
Mupirocin Mupirocin 11 341 $174.38 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES AZ 300208

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20240308002827

Enrollment State Jurisdiction

AZ

PECOS Control ID

3971949280

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Emcare - Pnx Emergency Physicians Llc

250 E Dunlap Ave, Phoenix, AZ 850202825

Phone: 9549395000

303 Emergency Physicians Pllc

33400 N 32nd Ave, Phoenix, AZ 850858876

Phone: 9549395000

Honorhealth Urgent Care Llc

18404 N Tatum Blvd, Phoenix, AZ 850321511

Phone: 6029921900

Honorhealth

16575 W Waddell Rd, Surprise, AZ 853889623

Phone: 6233009110

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Marwan Al-Ani , MD

Family Medicine

NPI 1871116905

Doctor of Medicine (M.D.)

Shawnee Fudurich , FNP-C

Nurse Practitioner - Family

NPI 1861057507

Family Nurse Practitioner (Certified)

Dr. Benjamin Gifford , DO

Internal Medicine

NPI 1518427343

Doctor of Osteopathic Medicine (D.O.)

NPI 1477817450

Doctor of Osteopathic Medicine (D.O.)

NPI 1316576093

Doctor of Osteopathic Medicine (D.O.)

Dr. Sathya Vemuri , MD

Family Medicine

NPI 1407889017

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ‘ค
Provider Name / Credentials Updated November 15, 2023

Recorded as SHANE SMITH, FNP-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2023

Nurse Practitioner (license number reported to NPPES: AZ 300208)

โœ…
NPI Profile Active August 10, 2023

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 10, 2023

Registered at 10230 W HAPPY VALLEY PKWY, PEORIA, AZ 853834691 (Tel: 6235613030)

๐Ÿ“
Business Mailing Address (Initial Record) August 10, 2023

Registered at 21735 N 119TH DR, SUN CITY, AZ 853735650 (Tel: 6236281522)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 10, 2023

Recorded as SHANE SMITH, FNP-S

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2023

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration August 10, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326721796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2023
Last Update: November 15, 2023
Sole Proprietor: No

Other Nurse Practitioners in Peoria

All Nurse Practitioners in Peoria

Mailing Address

21735 N 119th Dr

Sun City, AZ 853735650

Phone: 6236281522

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.