MR. CHRISTOPHER LEE SMITH APRN, PMHNP-BC
NPI 1225496391
Nurse Practitioner - Psychiatric/Mental Health in Salt Lake City, UT

Active since February 04, 2016PECOS EnrolledAccepts Medicare Assignment
409 W 400 S, THE FOURTH STREET CLINIC, SALT LAKE CITY, UT 84101(385) 234-5705(801) 364-0161 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2022, Dec 12, 2016, Feb 4, 2016 (3 updates tracked since 2016).

About Mr. Christopher Lee Smith Aprn, Pmhnp-bc NPPES

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

MR. CHRISTOPHER LEE SMITH APRN, PMHNP-BC (NPI 1225496391) is an individual psychiatric/mental health provider in Salt Lake City, Utah, licensed in Utah (6597871-4405) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2016).

NPPES Registry Identity

NPI1225496391
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. CHRISTOPHER LEE SMITHCredential: APRN, PMHNP-BC
Location Address409 W 400 S, THE FOURTH STREET CLINICSalt Lake City, UT 84101
Mailing Address409 W 400 S, The Fourth Street ClinicSalt Lake City, UT 84101 · (385) 234-5705 · Fax (801) 364-0161
Fax(801) 364-0161
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2016
Enumeration DateFebruary 4, 2016
Last NPPES UpdateNovember 4, 20223 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
NPI 1225496391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in UT · 6597871-4405
Also ListedNurse PractitionerTaxonomy 363L00000X · License 65978714405 (UT)
409 W 400 S, Salt Lake City, UT 84101

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

Mr. Christopher Lee Smith Aprn, Pmhnp-bc 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 ID3476824582
PECOS Enrollment IDI20170808003599
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84101 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 20

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

Social Worker (Clinical)
409 W 400 S
SALT LAKE CITY, UT 84101
Family Medicine
409 W 400 S
SALT LAKE CITY, UT 84101
Family Medicine
409 W 400 S
SALT LAKE CITY, UT 84101
Nurse Practitioner (Family)
409 W 400 S
SALT LAKE CITY, UT 84101
Family Medicine
409 W 400 S
SALT LAKE CITY, UT 84101
Dental Hygienist
409 W 400 S
SALT LAKE CITY, UT 84101
Social Worker (Clinical)
409 W 400 S
SALT LAKE CITY, UT 84101
Pharmacist (Ambulatory Care)
409 W 400 S
SLC, UT 84101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225496391, enumerated as an "individual" on February 04, 2016.

The provider is located at 409 W 400 S THE FOURTH STREET CLINIC SALT LAKE CITY, UT 84101 and the phone number is (385) 234-5705.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.