Individual provider Active NPI

Shelly R Smith, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1457630774
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024169424 Issued in VA
Practice address
7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803
Phone
(866) 327-2400
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024169424 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024169424 VA Primary

Addresses

Primary practice location

7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803

Mailing address

Nih Building 10 Room 3N 210
Bethesda, MD 20892-0001
Phone (301) 451-4374

Other practice location 1

4201 Greenwood Dr
Portsmouth, VA 23701-3250
Phone (757) 654-1444

Other practice location 2

776 Oak Grove Rd
Chesapeake, VA 23320-3728
Phone (757) 389-7900

Other practice location 3

2641 Nimmo Pkwy
Virginia Beach, VA 23456-9134
Phone (757) 263-3100

Other practice location 4

1309 Kempsville Rd
Norfolk, VA 23502-2205
Phone (757) 461-5001

Other practice location 5

3751 Sentara Way
Virginia Beach, VA 23452-4200
Phone (757) 901-1550

Other practice location 6

1604 Old Donation Pkwy
Virginia Beach, VA 23454-3063
Phone (757) 937-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20110830000319 VA Practitioner - Nurse Practitioner 8022288075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med MGT Associates of Virginia LLCGroup PAC ID 6406190826, 3 clinicians

Practice addresses (Care Compare)

1601 Broad Rock Blvd
Richmond, VA 23224-4923
Phone (888) 365-6271

3750 Sentara Way
Virginia Beach, VA 23452-4200
Phone (888) 365-6271

3751 Sentara Way
Virginia Beach, VA 23452-4200
Phone (888) 365-6271

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.66
Improvement activities
40
Cost
82.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med MGT Associates of Virginia LLC CurrentSince Nov 2, 2020 Accepting new patients
Planas and Associates,MD,PC Past Accepting new patients
Integrated Medical Services PLC Past Accepting new patients

Locations

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

776 Oak Grove Rd
Chesapeake, VA 23320
Phone (757) 261-4000

1309 Kempsville Rd
Norfolk, VA 23502
Phone (757) 446-5794

4201 Greenwood Dr
Portsmouth, VA 23701
Phone (757) 654-1444

1601 Broad Rock Blvd
Richmond, VA 23224
Phone (540) 982-2860

1604 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 496-7100

3751 Sentara Way
Virginia Beach, VA 23452
Phone (757) 306-2800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1457630774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NIH BUILDING 10 ROOM 3N 210",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-451-4374",
            "fax_number": "301-480-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD STE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404803",
            "telephone_number": "866-327-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Greenwood Dr",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237013250",
            "country_code": "US",
            "telephone_number": "757-654-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "776 Oak Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203728",
            "country_code": "US",
            "telephone_number": "757-389-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2641 Nimmo Pkwy",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234569134",
            "country_code": "US",
            "telephone_number": "757-263-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1309 Kempsville Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235022205",
            "country_code": "US",
            "telephone_number": "757-461-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3751 Sentara Way",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234524200",
            "country_code": "US",
            "telephone_number": "757-901-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1604 Old Donation Pkwy",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543063",
            "country_code": "US",
            "telephone_number": "757-937-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHELLY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169424",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024169424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.