DEZARAE L SMITH CRNP
NPI 1053108837
Nurse Practitioner in Altoona, PA

Active since April 23, 2025PECOS EnrolledAccepts Medicare Assignment
1321 11TH AVE, ALTOONA, PA 16601(914) 942-2411(814) 943-6291 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dezarae L Smith Crnp NPPES

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

DEZARAE L SMITH CRNP (NPI 1053108837) is an individual nurse practitioner in Altoona, Pennsylvania, licensed in Pennsylvania (SP032761) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Nason Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053108837
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDEZARAE L SMITHCredential: CRNP
Location Address1321 11TH AVEAltoona, PA 16601-3301
Mailing Address1321 11th AveAltoona, PA 16601-3301 · (914) 942-2411
Fax(814) 943-6291
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1053108837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP032761
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1321 11TH AVE, Altoona, PA 16601

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

Dezarae L Smith Crnp 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 ID2668989823
PECOS Enrollment IDI20250730004348
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.

Hospital Affiliations CMS Care Compare

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

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 12

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

Nurse Practitioner
1321 11TH AVE
ALTOONA, PA 16601
Internal Medicine (Cardiovascular Disease)
1321 11TH AVE
ALTOONA, PA 16601
Nurse Practitioner (Family)
1321 11TH AVE
ALTOONA, PA 16601
Internal Medicine (Cardiovascular Disease)
1321 11TH AVE
ALTOONA, PA 16601
Internal Medicine (Cardiovascular Disease)
1321 11TH AVE
ALTOONA, PA 16601
Internal Medicine (Cardiovascular Disease)
1321 11TH AVE
ALTOONA, PA 16601
Internal Medicine (Cardiovascular Disease)
1321 11TH AVE
ALTOONA, PA 16601
Nurse Practitioner (Family)
1321 11TH AVE
ALTOONA, PA 16601

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 Dezarae Smith's NPI number?

The NPI number for Dezarae Smith is 1053108837. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Dezarae Smith located?

Dezarae Smith practices at 1321 11th Ave, Altoona, PA 16601. The listed phone number is (914) 942-2411.

What is Dezarae Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dezarae Smith enrolled in Medicare?

Yes. Dezarae 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.

Is Dezarae Smith affiliated with any hospitals?

According to CMS data, Dezarae Smith is affiliated with Conemaugh Nason Medical Center.

When was this NPI record last updated?

The NPPES record for Dezarae Smith was last updated on April 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.