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TERRA SMITH
NPI 1053893495
Student in an Organized Health Care Education/Training Program in Bloomfield, CT

Active since September 01, 2018PECOS EnrolledAccepts Medicare Assignment
693 BLOOMFIELD AVENUE, BLOOMFIELD, CT 06002(860) 731-5522(860) 731-5536 Get Directions Write a Review

NPPES record last updated: September 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Terra Smith NPPES

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

TERRA SMITH (NPI 1053893495) is an individual student in an organized health care education/training program in Bloomfield, Connecticut and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053893495
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTERRA SMITH
Location Address693 BLOOMFIELD AVENUEBloomfield, CT 06002
Mailing Address995 Day Hill RoadWindsor, CT 06095 · (860) 731-5522 · Fax (860) 731-5536
Phone(860) 731-5522
Fax(860) 731-5536
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 1, 2018
✔ NPI 1053893495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
693 BLOOMFIELD AVENUE, Bloomfield, CT 06002
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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

Terra 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 ID2961935986
PECOS Enrollment IDI20241030000444
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.

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 Terra Smith's NPI number?

The NPI number for Terra Smith is 1053893495. It was assigned to this individual provider in the NPPES registry on September 1, 2018.

Where is Terra Smith located?

Terra Smith practices at 693 Bloomfield Avenue, Bloomfield, CT 06002. The listed phone number is (860) 731-5522.

What is Terra Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Terra Smith enrolled in Medicare?

Yes. Terra 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.

When was this NPI record last updated?

The NPPES record for Terra Smith was last updated on September 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.