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SONIA A SMITH ARNP
NPI 1285794826
Nurse Practitioner - Pediatrics in Gulf Breeze, FL

Active since December 12, 2006PECOS Enrolled
90.84/100
CMS Quality Rating
400 GULF BREEZE PKWY, SUITE 300, GULF BREEZE, FL 32561(850) 932-5055(850) 932-1404 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sonia A Smith Arnp NPPES

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

SONIA A SMITH ARNP (NPI 1285794826) is an individual pediatrics provider in Gulf Breeze, Florida, licensed in Florida (ARNP9173127) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285794826
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSONIA A SMITHCredential: ARNP
Location Address400 GULF BREEZE PKWY, SUITE 300Gulf Breeze, FL 32561-4495
Mailing Address400 Gulf Breeze Pkwy, Suite 300Gulf Breeze, FL 32561-4495 · (850) 932-5055 · Fax (850) 932-1404
Phone(850) 932-5055
Fax(850) 932-1404
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateDecember 29, 2011
✔ NPI 1285794826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · ARNP9173127
400 GULF BREEZE PKWY, Gulf Breeze, FL 32561
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sonia A Smith Arnp 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 Reassignments

2

Medicare enrollment records show Sonia Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sacred Heart Health System, Inc
8.0 mi
Internal Medicine
5149 N 9TH AVE STE G32
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 68 clinicians in this Medicare group
NPI 1952177446 (850) 416-0086
The Nemours Foundation
329 mi
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600

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 32561 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

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.

CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA
General Practice
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055
GENEI S BOUGHER ARNP
Nurse Practitioner (Pediatrics)
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055
MAILANDE DEDEAUX PA
Physician Assistant (Medical)
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055
EMERALD COAST PEDIATRIC SLEEP CONSULTANTS, LLC
Nurse Practitioner (Pediatrics)
400 GULF BREEZE PKWY, SUITE 204
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-3830
CHILD NEUROLOGY CENTER OF NW FL PA
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
400 GULF BREEZE PKWY, SUITE 202
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055

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 Sonia Smith's NPI number?

The NPI number for Sonia Smith is 1285794826. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Sonia Smith located?

Sonia Smith practices at 400 Gulf Breeze Pkwy Suite 300, Gulf Breeze, FL 32561. The listed phone number is (850) 932-5055.

What is Sonia Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Sonia Smith enrolled in Medicare?

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

Which organizations bill Medicare for Sonia Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Smith reassigns Medicare benefits to 2 organizations: Sacred Heart Health System, Inc (Pensacola, FL) and The Nemours Foundation (Jacksonville, FL). 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 Sonia Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Smith accept?

Health plans from Oscar Health Maintenance Organization of Florida list Sonia 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 Sonia Smith was last updated on December 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.