MARY SYLVIA SMITH FNP-C
NPI 1093602633
Nurse Practitioner - Family in Flagstaff, AZ

Active since June 18, 2025PECOS EnrolledAccepts Medicare Assignment
1001 N 4TH ST APT 3-101, FLAGSTAFF, AZ 86004(928) 310-2309 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Sylvia Smith Fnp-c NPPES

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

MARY SYLVIA SMITH FNP-C (NPI 1093602633) is an individual family provider in Flagstaff, Arizona, licensed in Arizona (F06250240) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093602633
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY SYLVIA SMITHCredential: FNP-C
Location Address1001 N 4TH ST APT 3-101Flagstaff, AZ 86004-7826
Mailing Address1001 N 4th St Apt 3-101Flagstaff, AZ 86004-7826 · (928) 310-2309
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 18, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1093602633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AZ · F06250240✔ Licensed in AZ · RNP325509
1001 N 4TH ST APT 3-101, Flagstaff, AZ 86004

Accepted Insurance

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

Mary Sylvia Smith Fnp-c 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 ID2264933944
PECOS Enrollment IDI20250903001761
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1500 E CEDAR AVE, STE 26
Flagstaff, AZ 86004
  • Reassigned Medicare billing, Arizona enrollment
  • 22 clinicians in this Medicare group
Multi-Specialty
10210 N 92ND ST STE 104
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 23 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 86004 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Smith's NPI number?

The NPI number for Mary Smith is 1093602633. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Mary Smith located?

Mary Smith practices at 1001 N 4th St Apt 3-101, Flagstaff, AZ 86004. The listed phone number is (928) 310-2309.

What is Mary Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Smith enrolled in Medicare?

Yes. Mary 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 Mary Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Smith reassigns Medicare benefits to 2 organizations: Native Americans For Community Action, Inc (Flagstaff, AZ) and Innovative Wound Solutions, LLC (Scottsdale, AZ). 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 Mary Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Smith accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Mary Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Smith was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.