ROSE SMITH PMHNP
NPI 1184163578
Nurse Practitioner - Psychiatric/Mental Health in Amityville, NY
About Rose Smith Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSE SMITH PMHNP (NPI 1184163578) is an individual psychiatric/mental health provider in Amityville, New York, licensed in New York (402327) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rose Smith Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rose Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Amityville, NY 11701
- Reassigned Medicare billing, New York enrollment
- 123 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 11701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
AMITYVILLE, NY 11701
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 Rose Smith's NPI number?
The NPI number for Rose Smith is 1184163578. It was assigned to this individual provider in the NPPES registry on February 17, 2017.
Where is Rose Smith located?
Rose Smith practices at 400 Sunrise Hwy, Amityville, NY 11701. The listed phone number is (631) 608-5610.
What is Rose Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Rose Smith enrolled in Medicare?
Yes. Rose Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rose Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rose Smith reassigns Medicare benefits to The Long Island Home (Amityville, NY). 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 Rose 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 Rose Smith was last updated on March 22, 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.
# Rose Smith, PMHNP · NPI 1184163578
Psychiatric/Mental Health physician in Amityville, New York. Individual provider, active in the CMS NPPES registry since February 17, 2017.
## Identity
- **NPI:** 1184163578 (Entity type: Individual)
- **Enumerated:** February 17, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 402327 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 SUNRISE HWY, Amityville, NY 11701-2508
- **Phone:** (631) 608-5610
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Long Island Home (NPI 1568459204, Amityville, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2018
- **Other identifiers:** Medicaid 1184163578 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1184163578) · Data from the CMS NPPES public registry.