Audrianna Shauntera Smith, NP in Concord, NC - Medicare Nurse Practitioner

Audrianna Shauntera Smith, NP is a medicare enrolled "Nurse Practitioner" in Concord, North Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sutter Valley Medical Foundation and her current practice location is 100 Medical Park Dr, Ste 210, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 403-6100.

Audrianna Shauntera Smith is licensed to practice in North Carolina (license number 5020019) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124650155.

Contact Information

	Audrianna Shauntera Smith, NP
	100 Medical Park Dr, Ste 210, Concord, NC 28025-2948
	(704) 403-6100
	Not Available

Map and Direction

Provider's Profile

Full Name	Audrianna Shauntera Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	100 Medical Park Dr, Concord, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Audrianna Shauntera Smith graduated from nursing school in 2017

NPI Data:

NPI Number: 1124650155
Provider Enumeration Date: 02/07/2020
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 3577990019
Enrollment ID: I20200227000429

Medical Identifiers

Medical identifiers for Audrianna Shauntera Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124650155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	5020019 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5020019 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Auburn Faith Hospital	Auburn, CA	Hospital
Sutter Medical Center, Sacramento	Sacramento, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Valley Medical Foundation	9830094515	1919

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Audrianna Shauntera Smith allows following entities to bill medicare on her behalf.

Entity Name	Stockton Cardiology Medical Group Complete Heart Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477591444 PECOS PAC ID: 8921048257 Enrollment ID: O20050520001058

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audrianna Shauntera Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Audrianna Shauntera Smith, NP Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Audrianna Shauntera Smith, NP 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 Ph: (704) 403-6100

Reviews and Comments

Nurse Practitioner Nurses in Concord, NC

Lori Lovett Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025 Phone: 704-403-9050
Mrs. Laura Hudson Werner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Poplar Tent Rd, Concord, NC 28027 Phone: 704-782-1727
Nicole Elizabeth Longo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025 Phone: 704-403-9050
Jason K Freeburne, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
Temple Britt Byrd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
John Emmett Fesperman, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
Kimberly Smith Gallagher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 349 Penny Ln, Concord, NC 28025 Phone: 704-786-7158

Audrianna Shauntera Smith, NP - Medicare Nurse Practitioner in Concord, NC