NPPES file of Aug 9, 2026

Shannon Smith, PA-C

Physician Assistant · Woodbury, MN

Shannon Smith, PA-C is a physician assistant with a practice address in Woodbury, Minnesota, and NPI 1417792912, issued on Jun 26, 2024. Check the license with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417792912
Name
Shannon Smith
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
Practice location
8675 Valley Creek RD, Woodbury, MN 55125
Phone
(651) 241-3000
Enumerated
Jun 26, 2024
Record last updated
Oct 30, 2024
Medicare enrollment
Enrolled (PECOS I20240801000817); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 8675 Valley Creek RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sarah Aldrich, M.D.Family Medicine Physician1053389429
  2. Margelusa Alexa, M.D.Internal Medicine Physician1942591227
  3. Adwoa Ansu, MDFamily Medicine Physician1972123438
  4. Christine Athmann, MDFamily Medicine Physician1528232261
  5. Pallavi Bains, D.OFamily Medicine Physician1538505748
  6. Jodi Baumgartner, PA-CPhysician Assistant1689668303

Verify Shannon Smith in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Allina Health SystemVadnais Heights, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Shannon Smith among 4,007 physician assistant records in Minnesota

Shannon Smith, PA-C is one of 4,007 physician assistant records with a practice address in Minnesota. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 91% of them.

  • NPI issued2024 · 91% of these records are older, 5% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 78% of these records are
  • Graduated2024 · median 2017 among the 3,131 with a school on file
  • Record last updated2024 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

99 physician assistant records list a practice address in Woodbury

They are 99 of the 2,504 NPPES records with a practice address in Woodbury, and 4,007 physician assistant records in Minnesota.

The 8 physician assistant records with the nearest ZIP codes

  1. Jodi Baumgartner, PA-CWoodbury, MN 551251689668303
  2. Kaitlin Buckner, P.A.Woodbury, MN 551251104852094
  3. Darrel Cotch, PAWoodbury, MN 551251164495016
  4. Christopher Duesman, PA-CWoodbury, MN 551251750379103
  5. Melanie Garms, PA-CWoodbury, MN 551251669433884
  6. Todd Holter, PACWoodbury, MN 551251396742896
  7. James Johanning, PA-CWoodbury, MN 551251952341091
  8. Christine Kelley, P.A.Woodbury, MN 551251578529889

Common questions

What is Shannon Smith, PA-C's NPI number?

Shannon Smith, PA-C's National Provider Identifier (NPI) is 1417792912, issued on Jun 26, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Shannon Smith, PA-C located?

The NPPES record lists a practice address at 8675 Valley Creek RD, Woodbury, MN, 55125. Phone: (651) 241-3000. Providers update this record themselves, so call before visiting.

How can I verify Shannon Smith, PA-C's license?

Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.