TERRA SMITH
NPI 1053893495
Student in an Organized Health Care Education/Training Program in Bloomfield, CT
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Terra Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brockton, MA 02301
- Reassigned Medicare billing, Massachusetts enrollment
- 120 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.
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.
Which organization bills Medicare for Terra Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terra Smith reassigns Medicare benefits to Sb Transitional Sub, LLC (Brockton, MA). The 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 Terra 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 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 8 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.
# Terra Smith · NPI 1053893495
Student in an Organized Health Care Education/Training Program provider in Bloomfield, Connecticut. Individual provider, active in the CMS NPPES registry since September 1, 2018.
## Identity
- **NPI:** 1053893495 (Entity type: Individual)
- **Enumerated:** September 1, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 693 BLOOMFIELD AVENUE, Bloomfield, CT 06002
- **Phone:** (860) 731-5522 · **Fax:** (860) 731-5536
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sb Transitional Sub, LLC (NPI 1962091173, Brockton, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 1, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1053893495) · Data from the CMS NPPES public registry.