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HOLLY ANNE SMITH
NPI 1023598588
Nurse Practitioner - Family in Port Orange, FL

Active since August 15, 2018PECOS EnrolledAccepts Medicare Assignment
870 DUNLAWTON AVE STE 210A, PORT ORANGE, FL 32127(386) 518-3671 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2024, Aug 15, 2018 (2 updates tracked since 2018).

About Holly Anne Smith NPPES

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

HOLLY ANNE SMITH (NPI 1023598588) is an individual family provider in Port Orange, Florida, licensed in Florida (ARNP9269711) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023598588
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY ANNE SMITH
Location Address870 DUNLAWTON AVE STE 210APort Orange, FL 32127-9274
Mailing AddressPo Box 935921Atlanta, GA 31193-5921
Phone(386) 518-3671
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 15, 2018
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1023598588 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 FL · ARNP9269711
870 DUNLAWTON AVE STE 210A, Port Orange, FL 32127
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11455 Dunn AveDaytona Beach, FL 32114-1437 · Phone (386) 323-9600 · Fax (386) 323-9695
Location 21425 Dunn AveDaytona Beach, FL 32114-1437 · Phone (386) 323-9600 · Fax (386) 323-9695

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly Anne Smith 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 ID8820333909
PECOS Enrollment IDI20181218001041
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Holly Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Halifax Healthcare Systems Inc
5.7 mi
Family Medicine
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 786 clinicians in this Medicare group
NPI 1245283530 (386) 254-4000
Rural Health Care, Inc.
6.3 mi
Federally Qualified Health Center (FQHC)
1425 DUNN AVE
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Rural Health Care Incorporated
  • 76 clinicians in this Medicare group
NPI 1891227179 (386) 323-9600
Florida Hospital Healthcare Partners, Inc
10 mi
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group
NPI 1780100529 (386) 231-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
95 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 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.
47 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32127 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

DR. HASSAN ZULFIQAR MD
Internal Medicine (Gastroenterology)
870 DUNLAWTON AVE STE 210A
PORT ORANGE, FL 32127
Volusia County (386) 518-3671

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 Holly Smith's NPI number?

The NPI number for Holly Smith is 1023598588. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Holly Smith located?

Holly Smith practices at 870 Dunlawton Ave Ste 210A, Port Orange, FL 32127. The listed phone number is (386) 518-3671.

What is Holly Smith's specialty?

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

Is Holly Smith enrolled in Medicare?

Yes. Holly Smith 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.

Which organizations bill Medicare for Holly Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Smith reassigns Medicare benefits to 3 organizations: Halifax Healthcare Systems Inc (Daytona Beach, FL), Rural Health Care, Inc. (Daytona Beach, FL) and Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL). Each 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 Holly Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Holly Smith affiliated with any hospitals?

According to CMS data, Holly Smith is affiliated with Adventhealth New Smyrna Beach, Adventhealth Deland and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Holly Smith was last updated on September 9, 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.