MRS. THEODEAN SMITH-LAWRENCE FNP
NPI 1003420472
Nurse Practitioner - Family in Newburgh, NY

Active since September 03, 2020PECOS EnrolledAccepts Medicare Assignment
147 LAKE ST, NEWBURGH, NY 12550(845) 563-8000 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Mar 26, 2021, Sep 3, 2020 (3 updates tracked since 2020).

About Mrs. Theodean Smith-lawrence Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. THEODEAN SMITH-LAWRENCE FNP (NPI 1003420472) is an individual family provider in Newburgh, New York, licensed in New York (345477) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003420472
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. THEODEAN SMITH-LAWRENCECredential: FNP
Location Address147 LAKE STNewburgh, NY 12550-5263
Mailing Address2570 Route 9w Ste 10Cornwall, NY 12518-1370 · (845) 220-3100
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 3, 2020
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1003420472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 345477
147 LAKE ST, Newburgh, NY 12550

Other Identifiers 1

Medicaid06447401NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Theodean Smith-lawrence Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204243256
PECOS Enrollment IDI20210318002058
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
147 LAKE ST
NEWBURGH, NY 12550
Midwife
147 LAKE ST
NEWBURGH, NY 12550
Internal Medicine
147 LAKE ST
NEWBURGH, NY 12550
Dentist (General Practice)
147 LAKE ST
NEWBURGH, NY 12550
Pharmacy (Community/Retail Pharmacy)
147 LAKE ST, STE 101
NEWBURGH, NY 12550
Nurse Practitioner (Family)
147 LAKE ST
NEWBURGH, NY 12550
Social Worker (Clinical)
147 LAKE ST
NEWBURGH, NY 12550
Dentist (General Practice)
147 LAKE ST
NEWBURGH, NY 12550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodean Smith-lawrence's NPI number?

The NPI number for Theodean Smith-lawrence is 1003420472. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Theodean Smith-lawrence located?

Theodean Smith-lawrence practices at 147 Lake St, Newburgh, NY 12550. The listed phone number is (845) 563-8000.

What is Theodean Smith-lawrence's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theodean Smith-lawrence enrolled in Medicare?

Yes. Theodean Smith-lawrence is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodean Smith-lawrence accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Theodean Smith-lawrence as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodean Smith-lawrence was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.