CAROLYN RENA SMITH
NPI 1023893393
Nurse Practitioner - Family in Wilmington, DE
About Carolyn Rena Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN RENA SMITH (NPI 1023893393) is an individual family provider in Wilmington, Delaware, licensed in Delaware (LG-0012438) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
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 and accepts Medicare assignment
Carolyn Rena 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.
Medicare Billing Reassignments
5Medicare enrollment records show Carolyn Smith reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, DE 19802
- Reassigned Medicare billing, Delaware enrollment
- 8 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Daniel Funsch Jr MD PC
- 68 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Delaware, New Hampshire and Pennsylvania enrollments
- 26 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Delaware, New Hampshire and Pennsylvania enrollments
- 41 clinicians in this Medicare group
Miami, FL 33162
- Reassigned Medicare billing, Delaware and Pennsylvania enrollments
- 31 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 19802 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.
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 Carolyn Smith's NPI number?
The NPI number for Carolyn Smith is 1023893393. It was assigned to this individual provider in the NPPES registry on August 25, 2023.
Where is Carolyn Smith located?
Carolyn Smith practices at 1624 Jessup St, Wilmington, DE 19802. The listed phone number is (302) 552-3574.
What is Carolyn Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carolyn Smith enrolled in Medicare?
Yes. Carolyn 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 Carolyn Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Smith reassigns Medicare benefits to 5 organizations: The Life Center Complex, Inc (Wilmington, DE), Daniel Funsch Jr, M.D., P.C. (New York, NY), Dr Rebman Bh LLC (New York, NY), Ivy Medical Group PLLC (New York, NY) and Dr Rebman Medical PA (Miami, 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 Carolyn 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 Carolyn Smith was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Carolyn Rena Smith · NPI 1023893393
Family physician in Wilmington, Delaware. Individual provider, active in the CMS NPPES registry since August 25, 2023.
## Identity
- **NPI:** 1023893393 (Entity type: Individual)
- **Enumerated:** August 25, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** LG-0012438 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 1624 JESSUP ST, Wilmington, DE 19802-4210
- **Phone:** (302) 552-3574
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): The Life Center Complex, Inc (NPI 1770808578, Wilmington, DE); Daniel Funsch Jr, M.D., P.C. (NPI 1316784580, New York, NY); Dr Rebman Bh LLC (NPI 1114894540, New York, NY); Ivy Medical Group PLLC (NPI 1700558798, New York, NY); Dr Rebman Medical PA (NPI 1669276689, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1023893393) · Data from the CMS NPPES public registry.