MIKAELA OVERTON SMITH PHD
NPI 1154920429
Psychologist in Boise, ID
About Mikaela Overton Smith Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKAELA OVERTON SMITH PHD (NPI 1154920429) is an individual psychologist in Boise, Idaho, licensed in Idaho (6261175) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mikaela Overton Smith Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mikaela Overton Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boise, ID 83712
- Reassigned Medicare billing, Idaho enrollment
- 1,312 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mikaela Overton Smith's NPI number?
The NPI number for Mikaela Overton Smith is 1154920429. It was assigned to this individual provider in the NPPES registry on October 19, 2020. The provider is also known as Mikaela Overton.
Where is Mikaela Overton Smith located?
Mikaela Overton Smith practices at 1075 E Park Blvd, Boise, ID 83712. The listed phone number is (208) 381-5970.
What is Mikaela Overton Smith's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Mikaela Overton Smith enrolled in Medicare?
Yes. Mikaela Overton Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mikaela Overton Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mikaela Overton Smith reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). 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 Mikaela Overton Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mikaela Overton Smith accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Mikaela Overton 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 Mikaela Overton Smith was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.