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HEATHER E SMITH FNP-BC
NPI 1164210795
Nurse Practitioner - Family in Queens Village, NY

Active since April 25, 2025PECOS Enrolled
10209 217TH ST, QUEENS VILLAGE, NY 11429(347) 858-0490 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heather E Smith Fnp-bc NPPES

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

HEATHER E SMITH FNP-BC (NPI 1164210795) is an individual family provider in Queens Village, New York, licensed in New York (356354) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164210795
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER E SMITHCredential: FNP-BC
Location Address10209 217TH STQueens Village, NY 11429-1128
Mailing Address10209 217th StQueens Village, NY 11429-1128
Phone(347) 858-0490
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 25, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1164210795 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
License✔ Licensed in NY · 356354
10209 217TH ST, Queens Village, NY 11429
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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 (PECOS)

Heather E Smith Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698276764
PECOS Enrollment IDI20250829001951
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11429 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 Heather Smith's NPI number?

The NPI number for Heather Smith is 1164210795. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Heather Smith located?

Heather Smith practices at 10209 217th St, Queens Village, NY 11429. The listed phone number is (347) 858-0490.

What is Heather Smith's specialty?

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

Is Heather Smith enrolled in Medicare?

Yes. Heather Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Smith was last updated on April 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.