CLYETTE S SMITH-WILCHER NP
NPI 1043966658
Nurse Practitioner - Family in Los Angeles, CA

Active since February 23, 2022PECOS EnrolledAccepts Medicare Assignment
1300 NORTH VERMONT HOLLYWOOD, LOS ANGELES, CA 90027(323) 522-6857 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2025, Aug 8, 2023, Feb 23, 2022 (3 updates tracked since 2022).

About Clyette S Smith-wilcher Np NPPES

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

CLYETTE S SMITH-WILCHER NP (NPI 1043966658) is an individual family provider in Los Angeles, California, licensed in California (95020525) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043966658
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLYETTE S SMITH-WILCHERCredential: NP
Location Address1300 NORTH VERMONT HOLLYWOODLos Angeles, CA 90027-9002
Mailing Address2309 W Avenue OPalmdale, CA 93551-3348 · (661) 317-2047
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 23, 2022
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
NPI 1043966658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95020525
Also ListedInternal MedicineTaxonomy 207R00000X · License 682 (CA)
1300 NORTH VERMONT HOLLYWOOD, Los Angeles, CA 90027

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Clyette S Smith-wilcher Np 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 ID3971984352
PECOS Enrollment IDI20220715002179
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043966658, enumerated as an "individual" on February 23, 2022.

The provider is located at 1300 NORTH VERMONT HOLLYWOOD LOS ANGELES, CA 90027 and the phone number is (323) 522-6857.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.