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MARKECIA SMITH FNP-C
NPI 1285310136
Nurse Practitioner - Family in Mount Pleasant, WI

Active since June 26, 2023PECOS Enrolled
5439 DURAND AVE, MOUNT PLEASANT, WI 53406(262) 898-9000(262) 898-3030 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Jan 8, 2025 (2 updates tracked since 2025).

About Markecia Smith Fnp-c NPPES

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

MARKECIA SMITH FNP-C (NPI 1285310136) is an individual family provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (F05230333) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285310136
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARKECIA SMITHCredential: FNP-C
Location Address5439 DURAND AVEMount Pleasant, WI 53406-5058
Mailing Address5439 Durand AveMount Pleasant, WI 53406-5058 · (262) 898-9000 · Fax (262) 898-3030
Phone(262) 898-9000
Fax(262) 898-3030
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 26, 2023
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1285310136 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 WI · F05230333
5439 DURAND AVE, Mount Pleasant, WI 53406
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Markecia Smith Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274985494
PECOS Enrollment IDI20240123003062
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 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
367 services111 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
289 services107 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
121 services88 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53406 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 8

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

FAMILY CARE ASSOCIATES, INC.
Family Medicine
5439 DURAND AVE, SUITE 202
RACINE, WI 53406
Racine County (262) 598-9205
MS. JUDITH ANNE WARNER NCMT
Specialist
5439 DURAND AVE
RACINE, WI 53406
Racine County (262) 637-1000
ENHANCED MEDICAL IMAGING
Specialist
5439 DURAND AVE
RACINE, WI 53406
Racine County (262) 554-9787
ADVANCED MEDICAL IMAGING LLC
Radiology (Diagnostic Radiology)
5439 DURAND AVE, SUITE 101
RACINE, WI 53406
Racine County (262) 554-8525
SHERIFF CHIROPRACTIC, LLC
Clinic/Center
5439 DURAND AVE, SUITE 200
RACINE, WI 53406
Racine County (262) 554-6869
JOSEPH KONOPSKI DPT, PT
Physical Therapist
5439 DURAND AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 898-9000
DANA R. TROTTER MD SC
Internal Medicine (Rheumatology)
5439 DURAND AVE, #103
RACINE, WI 53406
Racine County (262) 637-1000
DR. SCOTT THOMAS SHERIFF D.C.
Chiropractor
5439 DURAND AVE, SUITE 200
RACINE, WI 53406
Racine County (262) 554-6869

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 Markecia Smith's NPI number?

The NPI number for Markecia Smith is 1285310136. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Markecia Smith located?

Markecia Smith practices at 5439 Durand Ave, Mount Pleasant, WI 53406. The listed phone number is (262) 898-9000.

What is Markecia Smith's specialty?

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

Is Markecia Smith enrolled in Medicare?

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

What insurance does Markecia Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Markecia 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 Markecia Smith was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.