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Active NPI 1326721796 Individual Practitioner Male Practitioner

Shane Ray Smith , FNP-C

Nurse Practitioner • Peoria, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shane Smith, FNP-C is a certified Nurse Practitioner practicing in Peoria, AZ. With approximately 3 years of clinical experience since completing medical education in 2023, Shane Smith delivers high-quality medical care to the local community at 10230 W HAPPY VALLEY PKWY.

Shane Smith maintains professional affiliations with Emcare - Pnx Emergency Physicians Llc, 303 Emergency Physicians Pllc, Honorhealth and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10230 W Happy Valley Pkwy

Peoria, AZ 853834691

Telephone 6235613030
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Peoria, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -3.8 yrs vs City Avg
City Avg: 6.8 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
31 Specialists

Practicing in Peoria, AZ (1459 Statewide)

Telehealth Adoption Rate
16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (3 Years) 3 Yrs
Peoria Specialty Average (6.8 Years) 6.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
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 beneath the skin or into muscle for therapy, diagnosis, or prevention
12 12 $39.95 $11.73

Medical Specialties & State Licenses

CMS Verified: 2023-11-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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.

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1316576093

Doctor of Osteopathic Medicine (D.O.)

Dr. Sathya Vemuri , MD

Family Medicine

NPI 1407889017

Doctor of Medicine (M.D.)

NPI 1477817450

Doctor of Osteopathic Medicine (D.O.)

Dr. Benjamin Gifford , DO

Internal Medicine

NPI 1518427343

Doctor of Osteopathic Medicine (D.O.)

Shawnee Fudurich , FNP-C

Nurse Practitioner - Family

NPI 1861057507

Family Nurse Practitioner (Certified)

Dr. Marwan Al-Ani , MD

Family Medicine

NPI 1871116905

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated November 15, 2023

Recorded as SHANE SMITH, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2023

Nurse Practitioner (License #300208 in AZ)

NPI Profile Active August 10, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2023

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

📍
Updated Business Mailing Address August 10, 2023

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

👤
Provider Name / Credentials Updated August 10, 2023

Recorded as SHANE SMITH, FNP-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 10, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

21735 N 119th Dr

Sun City, AZ 853735650

Phone: 6236281522

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.