Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 09, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Dermatology
5314 N 250 W STE 220
PROVO, UT 84604
Clinic/Center
5314 N 250 W STE 220
PROVO, UT 84604
Nurse Practitioner
5314 N 250 W STE 220
PROVO, UT 84604
Physician Assistant
5314 N 250 W STE 220
PROVO, UT 84604
Dermatology
5314 N 250 W STE 220
PROVO, UT 84604

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.

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 7 days 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.