Individual provider Active NPI

Shakara S Smith, PA-C

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1396994968
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000633 Issued in DE
Practice address
1941 Limestone Rd Ste 211
Wilmington, DE 19808-5400
Phone
(302) 534-8100
Fax
(302) 543-8905
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0000633 DE Primary

Addresses

Primary practice location

1941 Limestone Rd Ste 211
Wilmington, DE 19808-5400

Mailing address

124 Creekside CT
Newark, DE 19702-3741
Phone (302) 463-6723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090306000253 DE Practitioner - Physician Assistant 7315003944 Reassigns benefits to 1 organization
I20220302000588 MD Practitioner - Physician Assistant 7315003944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Specialists PAGroup PAC ID 8527222835, 4 clinicians

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 211
Wilmington, DE 19808-5400
Phone (302) 543-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.68 of 100Reported as group
Quality
46.2
Promoting interoperability
65
Improvement activities
40
Cost
65.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000633DEMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: shakara.smith@deneurosurgical.directbygreenway.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1396994968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CREEKSIDE CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023741",
            "telephone_number": "302-463-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD STE 211",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085400",
            "telephone_number": "302-534-8100",
            "fax_number": "302-543-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAKARA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.