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NINA KAY SMITH M.D.
NPI 1235190604
Specialist in Rockingham, VA

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
87.29/100
CMS Quality Rating
2010 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801(540) 689-2100 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nina Kay Smith M.d. NPPES

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

NINA KAY SMITH M.D. (NPI 1235190604) is an individual specialist in Rockingham, Virginia, licensed in Virginia (0101037052) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and maintains a secondary practice location in Harrisonburg.

NPPES Registry Identity

NPI1235190604
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameNINA KAY SMITHCredential: M.D.
Location Address2010 HEALTH CAMPUS DRRockingham, VA 22801-8679
Mailing Address3475 Lake Pointe DrHarrisonburg, VA 22801-8397 · (540) 433-6636
Phone(540) 689-2100
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1981
Enumeration DateMarch 28, 2006
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
✔ NPI 1235190604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101037052
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2010 HEALTH CAMPUS DR, Rockingham, VA 22801
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Secondary Practice Location 1

Location 11956 Evelyn Byrd AveHarrisonburg, VA 22801-3423 · Phone (540) 442-9055 · Fax (540) 442-9058

Other Identifiers 1

Medicaid010069831VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nina Kay Smith M.d. 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 ID9931003191
PECOS Enrollment IDI20031120000607
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 Nina Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bath County Community Hospital
60 mi
Critical Access
106 PARK DRIVE
Hot Springs, VA 24445
  • Reassigned Medicare billing, Virginia enrollment
  • 129 clinicians in this Medicare group
NPI 1417989278 (540) 839-7137
Healogics Specialty Physicians Of Virginia, LLC
75 mi
Undersea and Hyperbaric Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 41 clinicians in this Medicare group
NPI 1689079055 (540) 741-1100

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
855 services150 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
252 services99 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
221 services102 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
187 services101 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
160 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
90 services90 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.84
Improvement Activities40
Cost63.86

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
45%20 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
43%121 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%144 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%1,600 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
84%348 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%449 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 77% · 362 patients
Patients screened: 89% · 362 patients
15%52 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 269 patients
Patients totalRate: 0% · 269 patients
0%269 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
5 suppliers31 claims1,400 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers21 claims932 services$0.37 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
2 suppliers22 claims215 services$20.27 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers15 claims218 services$7.10 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
3 suppliers27 claims270 services$7.24 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
3 suppliers39 claims388 services$9.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOSHUA NAPONE SIXON MD
Hospitalist
2010 HEALTH CAMPUS DR
ROCKINGHAM, VA 22801
Harrisonburg City (540) 689-1110
PUNKAJ K DUA MD
Hospitalist
2010 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Harrisonburg City (540) 689-1110
RACHEL M WHITEHAIR MD
Pathology (Anatomic Pathology & Clinical Pathology)
2010 HEALTH CAMPUS DR
ROCKINGHAM, VA 22801
Harrisonburg City (540) 689-6670
JAMEY GROFF PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2010 HEALTH CAMPUS DR
ROCKINGHAM, VA 22801
Harrisonburg City (540) 689-7091
DR. JEFFREY D TURNER M.D.
Emergency Medicine
2010 HEALTH CAMPUS DR, SENTARA ROCKINGHAM MEMORIAL HOSPITAL
ROCKINGHAM, VA 22801
Harrisonburg City (540) 689-1000
CHIPLEY JONES CLARKE
Internal Medicine
2010 HEALTH CAMPUS DR
ROCKINGHAM, VA 22801
Harrisonburg City (540) 689-1110
DAVID EDWARD GRAYSON MD
Radiology (Diagnostic Radiology)
2010 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Harrisonburg City (540) 689-1500
DR. SCOTT C COLE M.D.
Pediatrics
2010 HEALTH CAMPUS DR
HARRISONBURG, VA 22801
Harrisonburg City (540) 689-1110

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 Nina Smith's NPI number?

The NPI number for Nina Smith is 1235190604. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Nina Smith located?

Nina Smith practices at 2010 Health Campus Dr, Rockingham, VA 22801. The listed phone number is (540) 689-2100.

What is Nina Smith's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nina Smith enrolled in Medicare?

Yes. Nina Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nina Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nina Smith reassigns Medicare benefits to 2 organizations: Bath County Community Hospital (Hot Springs, VA) and Healogics Specialty Physicians Of Virginia, LLC (Fredericksburg, VA). 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 Nina Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nina Smith affiliated with any hospitals?

According to CMS data, Nina Smith is affiliated with Sentara Rmh Medical Center and University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Nina Smith was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.