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DR. NICOLE LYNN SMITH PSY.D., L.P.
NPI 1215206552
Psychologist - Clinical Child & Adolescent in Minnetonka, MN

Active since December 15, 2011PECOS Enrolled
10273 YELLOW CIRCLE DR, MINNETONKA, MN 55343(952) 215-3759(952) 401-9805 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicole Lynn Smith Psy.d., L.p. NPPES

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

DR. NICOLE LYNN SMITH PSY.D., L.P. (NPI 1215206552) is an individual clinical child & adolescent provider in Minnetonka, Minnesota, licensed in Minnesota (LP5504) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215206552
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. NICOLE LYNN SMITHCredential: PSY.D., L.P.
Location Address10273 YELLOW CIRCLE DRMinnetonka, MN 55343-9144
Mailing Address2841 Bryant Ave S Apt 130Minneapolis, MN 55408-4896 · (414) 232-7277
Phone(952) 215-3759
Fax(952) 401-9805
Sole ProprietorYes
Enumeration DateDecember 15, 2011
Last NPPES UpdateJune 26, 2014
✔ NPI 1215206552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MN · LP5504
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
10273 YELLOW CIRCLE DR, Minnetonka, MN 55343
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Lynn Smith Psy.d., L.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,510 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Minnesota, New York and Wisconsin enrollments
  • 276 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JOE TONDA
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
EMILY ANN KNUDSON
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
KATHRYN AUTUMN BYZEWSKI
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 215-3753
STEPHANIE TAFT BCBA
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 215-3764
MAKENNA TAYLOR NIEMAN
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
GRACE MARIE WOLGEMUTH
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
KATHRYN KRISTINE LIPPITT M.A., BCBA, LBA
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (763) 300-0494
AUBREY ELIZABETH HENDRICKSON
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359

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 Nicole Smith's NPI number?

The NPI number for Nicole Smith is 1215206552. It was assigned to this individual provider in the NPPES registry on December 15, 2011.

Where is Nicole Smith located?

Nicole Smith practices at 10273 Yellow Circle Dr, Minnetonka, MN 55343. The listed phone number is (952) 215-3759.

What is Nicole Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Nicole Smith enrolled in Medicare?

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

Which organization bills Medicare for Nicole Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Smith reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Nicole Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Smith accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Nicole 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.

When was this NPI record last updated?

The NPPES record for Nicole Smith was last updated on June 26, 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.