MICHELLE SMITH
NPI 1194477588
Nurse Practitioner - Family in Columbus, IN

Active since January 26, 2022PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
2118 25TH ST STE E, COLUMBUS, IN 47201(812) 373-2727 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, May 8, 2024, Oct 31, 2022 and 2 more (5 updates tracked since 2022).

About Michelle Smith NPPES

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

MICHELLE SMITH (NPI 1194477588) is an individual family provider in Columbus, Indiana, licensed in Indiana (28164095A) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Columbus Regional Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194477588
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE SMITH
Location Address2118 25TH ST STE EColumbus, IN 47201-3240
Mailing AddressPo Box 775383Chicago, IL 60677-5383 · (812) 376-5315
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 26, 2022
Last NPPES UpdateSeptember 9, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1194477588 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 IN · 28164095A
2118 25TH ST STE E, Columbus, IN 47201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle 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.

PECOS PAC ID4789064551
PECOS Enrollment IDI20220711002343
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services132 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services44 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
37 services36 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
34 services31 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
18 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47201 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2118 25TH ST STE E
COLUMBUS, IN 47201
Family Medicine
2118 25TH ST STE E
COLUMBUS, IN 47201
Family Medicine
2118 25TH ST STE E
COLUMBUS, IN 47201
Family Medicine
2118 25TH ST STE E
COLUMBUS, IN 47201
Nurse Practitioner (Psychiatric/Mental Health)
2118 25TH ST STE E
COLUMBUS, IN 47201
Family Medicine
2118 25TH ST STE E
COLUMBUS, IN 47201
Nurse Practitioner (Psychiatric/Mental Health)
2118 25TH ST STE E
COLUMBUS, IN 47201

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 Michelle Smith's NPI number?

The NPI number for Michelle Smith is 1194477588. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Where is Michelle Smith located?

Michelle Smith practices at 2118 25th St Ste E, Columbus, IN 47201. The listed phone number is (812) 373-2727.

What is Michelle Smith's specialty?

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

Is Michelle Smith enrolled in Medicare?

Yes. Michelle 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.

What insurance does Michelle Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Michelle 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.

Is Michelle Smith affiliated with any hospitals?

According to CMS data, Michelle Smith is affiliated with Columbus Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Smith was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.