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ANDREA SMITH
NPI 1225901747
Nurse Practitioner - Family in Provo, UT

Active since September 29, 2025PECOS Enrolled
5314 N 250 W STE 220, PROVO, UT 84604(801) 225-8484 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrea Smith NPPES

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

ANDREA SMITH (NPI 1225901747) is an individual family provider in Provo, Utah, licensed in Utah (6988493-4405) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1225901747
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA SMITH
Location Address5314 N 250 W STE 220Provo, UT 84604-7746
Mailing Address5314 N 250 W Ste 220Provo, UT 84604-7746 · (801) 225-8484
Phone(801) 225-8484
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 29, 2025
Last NPPES UpdateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
✔ NPI 1225901747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 6988493-4405
5314 N 250 W STE 220, Provo, UT 84604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365912383
PECOS Enrollment IDI20260529003992
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 Reassignments

2

Medicare enrollment records show Andrea Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverwoods Dermatology Inc
Same address
Dermatology
5314 N 250 W STE 220
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 5 clinicians in this Medicare group
NPI 1174452619 (801) 225-8484
Provider Profile
3.0 mi
Procedural Dermatology
5314 N 250 W, SUITE 220
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 7 clinicians in this Medicare group
NPI 1891801346 (801) 225-8484

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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 5

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

RIVERWOODS DERMATOLOGY INC
Dermatology
5314 N 250 W STE 220
PROVO, UT 84604
Utah County (801) 225-8484
RICHARD W. PARKINSON
Clinic/Center
5314 N 250 W STE 220
PROVO, UT 84604
Utah County (801) 225-8484
MERIDITH GLADE LIND APRN
Nurse Practitioner
5314 N 250 W STE 220
PROVO, UT 84604
Utah County (801) 225-8484
HEATHER PARKINSON PA-S
Physician Assistant
5314 N 250 W STE 220
PROVO, UT 84604
Utah County (801) 225-8484
DANIEL GLADE MD
Dermatology
5314 N 250 W STE 220
PROVO, UT 84604
Utah County (801) 225-8484

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 Andrea Smith's NPI number?

The NPI number for Andrea Smith is 1225901747. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Andrea Smith located?

Andrea Smith practices at 5314 N 250 W Ste 220, Provo, UT 84604. The listed phone number is (801) 225-8484.

What is Andrea Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Smith enrolled in Medicare?

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

Which organizations bill Medicare for Andrea Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Smith reassigns Medicare benefits to 2 organizations: Riverwoods Dermatology Inc (Provo, UT) and (Provo, UT). 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 Andrea Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Smith accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Andrea 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 Andrea Smith was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.