MR. BENJAMIN A SMITH
NPI 1205461522
Nurse Practitioner - Gerontology in Minneapolis, MN
About Mr. Benjamin A Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BENJAMIN A SMITH (NPI 1205461522) is an individual gerontology provider in Minneapolis, Minnesota, licensed in Washington (AP61054509) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Benjamin A 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.
Medicare Billing Reassignments
10Medicare enrollment records show Benjamin Smith reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,439 clinicians in this Medicare group
Santa Fe, NM 87505
- Reassigned Medicare billing, New Mexico enrollment
- 31 clinicians in this Medicare group
Grants, NM 87020
- Reassigned Medicare billing, New Mexico enrollment
- 123 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, New Mexico enrollment
- 251 clinicians in this Medicare group
Gallup, NM 87301
- Reassigned Medicare billing, New Mexico enrollment
- 37 clinicians in this Medicare group
Alamogordo, NM 88310
- Reassigned Medicare billing, New Mexico enrollment
- 417 clinicians in this Medicare group
Alamogordo, NM 88310
- Reassigned Medicare billing, New Mexico enrollment
- 48 clinicians in this Medicare group
Alamogordo, NM 88310
- Reassigned Medicare billing, New Mexico enrollment
- 39 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 915 clinicians in this Medicare group
Tacoma, WA 98422
- Reassigned Medicare billing, Washington enrollment
- 9 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gerald Champion Regional Medical Center
Acute Care Hospitals · Alamogordo, NMCibola General Hospital
Critical Access Hospitals · Grants, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55401
MINNEAPOLIS, MN 55401
MINNEAPOLIS, MN 55401
MINNEAPOLIS, MN 55401
MINNEAPOLIS, MN 55401
MINNEAPOLIS, MN 55401
MINNEAPOLIS, MN 55401
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 Benjamin Smith's NPI number?
The NPI number for Benjamin Smith is 1205461522. It was assigned to this individual provider in the NPPES registry on March 6, 2020.
Where is Benjamin Smith located?
Benjamin Smith practices at 100 Washington Ave S Ste 900, Minneapolis, MN 55401. The listed phone number is (866) 492-5336.
What is Benjamin Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Benjamin Smith enrolled in Medicare?
Yes. Benjamin 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 Benjamin Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Smith reassigns Medicare benefits to 10 organizations: Concord Medical Group Of Texas PLLC (Lubbock, TX), Healthfront PC (Santa Fe, NM), Fedko Emergency Physicians New Mexico LLC (Grants, NM), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Fep West LLC (Gallup, NM) and 5 more organizations, listed in the Medicare section above. 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 Benjamin Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Benjamin Smith affiliated with any hospitals?
According to CMS data, Benjamin Smith is affiliated with Gerald Champion Regional Medical Center and Cibola General Hospital.
When was this NPI record last updated?
The NPPES record for Benjamin Smith was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Benjamin A Smith · NPI 1205461522
Gerontology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 6, 2020.
## Identity
- **NPI:** 1205461522 (Entity type: Individual)
- **Enumerated:** March 6, 2020
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** AP61054509 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 WASHINGTON AVE S STE 900, Minneapolis, MN 55401-2511
- **Phone:** (866) 492-5336
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Concord Medical Group Of Texas PLLC (NPI 1750790762, Lubbock, TX); Healthfront PC (NPI 1417901612, Santa Fe, NM); Fedko Emergency Physicians New Mexico LLC (NPI 1770047441, Grants, NM); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); Fep West LLC (NPI 1023903499, Gallup, NM); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 12, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1205461522) · Data from the CMS NPPES public registry.