MRS. MARIE NICOLE SMITH RN, CNS
NPI 1265711170
Clinical Nurse Specialist - Psychiatric/Mental Health in Troy, OH

Active since August 09, 2011PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
600 W MAIN ST STE 130, TROY, OH 45373(855) 500-2873(937) 980-7057 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Nov 20, 2020, Feb 12, 2020 (3 updates tracked since 2020).

About Mrs. Marie Nicole Smith Rn, Cns NPPES

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

MRS. MARIE NICOLE SMITH RN, CNS (NPI 1265711170) is an individual psychiatric/mental health provider in Troy, Ohio, licensed in Ohio (APRNCNP026015) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Fort Hamilton Hughes Memorial Hospital, and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1265711170
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameMRS. MARIE NICOLE SMITHCredential: RN, CNS
Location Address600 W MAIN ST STE 130Troy, OH 45373-3384
Mailing Address3700 Southern Blvd Ste 401Kettering, OH 45429-1265 · (855) 500-2873 · Fax (937) 281-3913
Fax(937) 980-7057
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 9, 2011
Last NPPES UpdateApril 1, 20253 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1265711170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License Licensed in OH · APRNCNP026015
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License APRNCNP026015 (OH)
Also ListedNurse Practitioner · PerinatalTaxonomy 363LP1700X · License APRN..CNP.12269 (OH)
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License COA12269NS (OH)
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License RN312421 (OH)
600 W MAIN ST STE 130, Troy, OH 45373

Secondary Practice Location 1

Location 13737 Southern Blvd, Suite 3200Kettering, OH 45429-1262 · Phone (937) 558-3500 · Fax (937) 558-5507

Other Identifiers 2

OtherCOA12269NSOH · Ohio License
Medicaid0083654OH

Accepted 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

Mrs. Marie Nicole Smith Rn, Cns 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 ID7911146246
PECOS Enrollment IDI20130618000579
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.

Areas of Expertise CMS Part B claims 3

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.

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.
106 services33 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
97 services32 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 38 patients
100%45 patients
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.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Hematology & Oncology)
600 W MAIN ST STE 130
TROY, OH 45373
Nurse Practitioner (Family)
600 W MAIN ST STE 130
TROY, OH 45373

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 Marie Smith's NPI number?

The NPI number for Marie Smith is 1265711170. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Marie Smith located?

Marie Smith practices at 600 W Main St Ste 130, Troy, OH 45373. The listed phone number is (855) 500-2873.

What is Marie Smith's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Marie Smith enrolled in Medicare?

Yes. Marie 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.

What insurance does Marie Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Marie 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.

Is Marie Smith affiliated with any hospitals?

According to CMS data, Marie Smith is affiliated with Fort Hamilton Hughes Memorial Hospital and Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Marie Smith was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.