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

Q: What is Christopher Smith's NPI number?

The NPI number for Christopher Smith is 1225496391. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Q: What is Christopher Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Christopher Smith was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: August 16, 2026.

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

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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

Phone(385) 234-5705

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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.

ELLEN HARMSTON CSW

Social Worker (Clinical)