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TRICIA ANNE SMALLWOOD NP
NPI 1245051242
Nurse Practitioner - Gerontology in Oakland, CA

Active since October 22, 2024PECOS Enrolled
3100 SUMMIT ST FL 2, OAKLAND, CA 94609(510) 869-4000(510) 869-8475 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tricia Anne Smallwood Np NPPES

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

TRICIA ANNE SMALLWOOD NP (NPI 1245051242) is an individual gerontology provider in Oakland, California, licensed in California (95032510) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245051242
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTRICIA ANNE SMALLWOODCredential: NP
Location Address3100 SUMMIT ST FL 2Oakland, CA 94609-3412
Mailing Address158 Crestmont Dr Lowr AptOakland, CA 94619-2312 · (631) 880-1814
Phone(510) 869-4000
Fax(510) 869-8475
Sole ProprietorNo
Enumeration DateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1245051242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 95032510
3100 SUMMIT ST FL 2, Oakland, CA 94609
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tricia Anne Smallwood Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Tricia Smallwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Bay Aids Center Medical Group Inc
Same address
Infectious Disease
3100 SUMMIT ST, 2ND FLOOR
Oakland, CA 94609
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1689600314 (510) 869-8400

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 94609 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

ELSA PETRONELLA VAN BERRY CRYT, RN, MSN,FNP-BC
Nurse Practitioner (Family)
3100 SUMMIT ST FL 2
OAKLAND, CA 94609
Alameda County (510) 869-8865
NICHOLAS AZEVEDO
Social Worker (Clinical)
3100 SUMMIT ST FL 2
OAKLAND, CA 94609
Alameda County (510) 869-8400
MS. ANDREA MINOR THACH M.D.
Internal Medicine (Hospice and Palliative Medicine)
3100 SUMMIT ST FL 2
OAKLAND, CA 94609
Alameda County (510) 204-3410
MATHEW SOMMERS NP
Nurse Practitioner (Primary Care)
3100 SUMMIT ST FL 2
OAKLAND, CA 94609
Alameda County (510) 869-8400
LISA MARIE KING FNP
Nurse Practitioner
3100 SUMMIT ST FL 2
OAKLAND, CA 94609
Alameda County (510) 869-8865

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 Tricia Smallwood's NPI number?

The NPI number for Tricia Smallwood is 1245051242. It was assigned to this individual provider in the NPPES registry on October 22, 2024.

Where is Tricia Smallwood located?

Tricia Smallwood practices at 3100 Summit St Fl 2, Oakland, CA 94609. The listed phone number is (510) 869-4000.

What is Tricia Smallwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Tricia Smallwood enrolled in Medicare?

Yes. Tricia Smallwood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tricia Smallwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tricia Smallwood reassigns Medicare benefits to East Bay Aids Center Medical Group Inc (Oakland, CA). The 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 Tricia Smallwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tricia Smallwood was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.