Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon Marie Smith, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1093516338

Mrs. Shannon Marie Smith, AGACNP-BC is a Nurse Practitioner in Toledo, Ohio. Qualified in 2022, 4 years ago. Practices with Nephrology Consultants of Northwest Ohio, Inc, a 10-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2025
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Practice location Address checks out

5072 Goodwill Rd
Toledo, OH 43613-2502
Phone: (419) 704-8062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3000 Arlington Ave Ste 2b, Toledo, OH 43614-2595 — (419) 383-3578
  • 1000 Regency Ct Ste 210, Toledo, OH 43623-3074 — (419) 383-2464

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 390595 (OH)

Record details

NPI number1093516338
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMarch 22, 2025
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nephrology Consultants Of Northwest Ohio, Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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