Stephanie L Smith-Fornshell, DNP, APRN, CNP, PMHN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2759 Issued in MN

Practice address

14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509

Phone

(651) 456-8494

NPI assigned

Nov 19, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Stephanie L Smith Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iris Mental Health, LLC

  • Marriage & Family Therapist
  • Apple Valley, MN
  • NPI 1023528213

  Single Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1134559610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14665 GALAXIE AVE STE 140",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244509",
            "telephone_number": "651-456-8494",
            "fax_number": "952-686-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14665 GALAXIE AVE STE 140",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244509",
            "telephone_number": "651-456-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-FORNSHELL",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "DNP, APRN, CNP, PMHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2759",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "R1908376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SMITH",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anuja Singh, MD
• Nadina Singh, MA
• Justin A. Siple, D.C.
• Sydney Sirek, OTR/L
• Luke Gustave Siskoff, DDS
• Brian James Smith, D.C.
• Daniel Jay Smith, M.D.
• Ryan Kaye Smith, PT, DPT, OCS
• Snoreless Sleep Solutions
• Ronald J Snyder, DDS

• Psychiatric/Mental Health Nurse Practitioner in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.