SANDRA SMITH
NPI 1013319367
Nurse Practitioner - Primary Care in Madison, IN
About Sandra Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA SMITH (NPI 1013319367) is an individual primary care provider in Madison, Indiana, licensed in Indiana (363LP2300X) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandra Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sandra Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, IN 47250
- Reassigned Medicare billing, Indiana enrollment
- 112 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, IN 47250
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 Sandra Smith's NPI number?
The NPI number for Sandra Smith is 1013319367. It was assigned to this individual provider in the NPPES registry on September 18, 2014.
Where is Sandra Smith located?
Sandra Smith practices at 220 Clifty Dr Ste J, Madison, IN 47250. The listed phone number is (812) 274-0713.
What is Sandra Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Sandra Smith enrolled in Medicare?
Yes. Sandra Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sandra Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Smith reassigns Medicare benefits to State Of Indiana, Auditor Of State (Madison, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sandra Smith was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sandra Smith · NPI 1013319367
Primary Care physician in Madison, Indiana. Individual provider, active in the CMS NPPES registry since September 18, 2014.
## Identity
- **NPI:** 1013319367 (Entity type: Individual)
- **Enumerated:** September 18, 2014
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 363LP2300X (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 220 CLIFTY DR STE J, Madison, IN 47250-1669
- **Phone:** (812) 274-0713
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Indiana, Auditor Of State (NPI 1659497477, Madison, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1013319367) · Data from the CMS NPPES public registry.