Individual provider Active NPI

Sheila Kathleen Smith, NP

  • Adult Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1710218151
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5091 Issued in MN
Practice address
814 S 3Rd St
Minneapolis, MN 55415
Phone
(612) 888-9792
Fax
(612) 888-9762
NPI assigned
Jan 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 8039444 TN
Adult Health Nurse Practitioner 363LA2200X 80289 -030 WI
Adult Health Nurse Practitioner 363LA2200X 5091 MN Primary

Addresses

Primary practice location

814 S 3Rd St
Minneapolis, MN 55415

Mailing address

814 S 3Rd St
Minneapolis, MN 55415
Phone (612) 888-9792

Other identifiers 1

IdentifierTypeStateIssuer
Q000029MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180804000198 MN Practitioner - Nurse Practitioner 5991941692 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
79.17
Promoting interoperability
100
Improvement activities
40
Cost
73.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5091MNMDAdult Health Nurse Practitioner
8039444TNMDAdult Health Nurse Practitioner
80289 -030WIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Physicians CurrentSince Sep 4, 2018 Accepting new patients
Healtheast Care System CurrentSince Apr 14, 2020 Accepting new patients
Fairview Express Care CurrentSince Apr 14, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast St. John'S Hospital CurrentSince Apr 14, 2020 Accepting new patients
Fairview Express Care CurrentSince Jan 29, 2022 Accepting new patients
University of Minnesota Physicians CurrentSince Sep 4, 2018 Accepting new patients
Fairview Health Services CurrentSince Apr 14, 2020 Accepting new patients
Fairview Clinics CurrentSince Apr 14, 2020 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Sep 4, 2018 Accepting new patients
Fairview Clinics CurrentSince Apr 14, 2020 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Bethesda Hospital CurrentSince Apr 14, 2020 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Clinics Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Jun 15, 2020 Accepting new patients
Fairview Express Care CurrentSince Jan 29, 2022 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Sep 4, 2018 Accepting new patients
East Tennessee State University PastSince Mar 1, 2013 Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

614 E Grant St
Minneapolis, MN 55404
Phone (612) 338-0723

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

814 S 3rd St
Minneapolis, MN 55415
Phone (612) 888-9792

2849 Johnson St NE
Minneapolis, MN 55418
Phone (612) 672-1900

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: ssmith443478@fairview.direct-ci.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 3

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": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1710218151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S 3RD ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55415",
            "telephone_number": "612-888-9792",
            "fax_number": "612-888-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S 3RD ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55415",
            "telephone_number": "612-888-9792",
            "fax_number": "612-888-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHEILA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "8039444",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "80289 -030",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "5091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000029",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.