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DR. STANYA SMITH M.D.
NPI 1205845732
Psychiatry & Neurology - Neurology in Waukesha, WI

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
1111 DELAFIELD ST STE 105, WAUKESHA, WI 53188(262) 542-9503(262) 542-8447 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stanya Smith M.d. NPPES

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

DR. STANYA SMITH M.D. (NPI 1205845732) is an individual neurology provider in Waukesha, Wisconsin, licensed in Wisconsin (46968-020) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1205845732
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. STANYA SMITHCredential: M.D.
Location Address1111 DELAFIELD ST STE 105Waukesha, WI 53188-3402
Mailing Address1111 Delafield St Ste 105Waukesha, WI 53188-3402 · (262) 542-9503 · Fax (262) 542-8447
Phone(262) 542-9503
Fax(262) 542-8447
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 16, 2014
✔ NPI 1205845732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WI · 46968-020
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1111 DELAFIELD ST STE 105, Waukesha, WI 53188
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Other Identifiers 1

Medicare UPINH36082WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

Dr. Stanya Smith M.d. 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 ID749255230
PECOS Enrollment IDI20040827001240
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 6

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.
268 services228 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.
69 services63 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
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.
24 services24 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 4

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

DR. CHRISTOPHER KING D.O.
Neurological Surgery
1111 DELAFIELD ST STE 105
WAUKESHA, WI 53188
Waukesha County (262) 542-9503
DR. BRIAN A. CHAPMAN M.D.
Psychiatry & Neurology (Neurology)
1111 DELAFIELD ST STE 105
WAUKESHA, WI 53188
Waukesha County (262) 542-9503
NEUROLOGIC ASSOCIATES OF WISCONSIN LTD
Psychiatry & Neurology (Neurology)
1111 DELAFIELD ST STE 105
WAUKESHA, WI 53188
Waukesha County (262) 542-9503
DR. DARRYL M. PRINCE M.D.
Psychiatry & Neurology (Neurology)
1111 DELAFIELD ST STE 105
WAUKESHA, WI 53188
Waukesha County (262) 542-9503

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 Stanya Smith's NPI number?

The NPI number for Stanya Smith is 1205845732. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Stanya Smith located?

Stanya Smith practices at 1111 Delafield St Ste 105, Waukesha, WI 53188. The listed phone number is (262) 542-9503.

What is Stanya Smith's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Stanya Smith enrolled in Medicare?

Yes. Stanya 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 Stanya Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Stanya 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 Stanya Smith affiliated with any hospitals?

According to CMS data, Stanya Smith is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stanya Smith was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.