Staci Smith, FNP - Medicare Nurse Practitioner in Shelbyville, TN

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Staci Smith, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Shelbyville, Tennessee. Her current practice location is 2012 N Main St, Shelbyville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 703-0829.

Staci Smith is licensed to practice in Tennessee (license number 26843) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023653037.

Contact Information

Staci Smith, FNP
2012 N Main St,
Shelbyville, TN 37160-2022
(931) 703-0829
Not Available

Map and Direction




Provider's Profile

Full NameStaci Smith
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location2012 N Main St, Shelbyville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023653037
  • Provider Enumeration Date: 11/13/2019
  • Last Update Date: 04/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2860827912
  • Enrollment ID: I20200117000357

Medical Identifiers

Medical identifiers for Staci Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023653037NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 26843 (Tennessee)Primary

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. Staci Smith allows following entities to bill medicare on her behalf.
Entity NameAdvanced Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093741464
PECOS PAC ID: 7315848140
Enrollment ID: O20040115000677
Entity NameFaith Family Wellness Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184107302
PECOS PAC ID: 8426396540
Enrollment ID: O20190215001260

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. Staci 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 AddressPractice Location Address
Staci Smith, FNP
199 Morris Ln,
Wartrace, TN 37183-3112

Ph: (931) 703-0829		Staci Smith, FNP
2012 N Main St,
Shelbyville, TN 37160-2022

Ph: (931) 703-0829

Reviews and Comments


Nurse Practitioner Nurses in Shelbyville, TN

Mrs. Patricia Ann Rice, APN
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Practice Location: 2835 Us-231, Shelbyville, TN 37166
Phone: 931-685-5433    
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Phone: 931-685-9277    Fax: 931-685-9244
Anita S Philipose, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 1303 N Main St Ste C, Shelbyville, TN 37160
Phone: 502-417-4956    
Dr. Kenda Marshelle Harrison, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 1021 Colloredo Blvd, Shelbyville, TN 37160
Phone: 931-735-6633    
Patti J. Kamykowski, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 845 Union St, Shelbyville, TN 37160
Phone: 931-685-5433    Fax: 931-685-5449
Mrs. Kristin Mcbay, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2012 N Main St, Shelbyville, TN 37160
Phone: 931-492-5290    Fax: 931-492-5292

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.