DR. SEAN M. SMART DNP
NPI 1295189264
Nurse Practitioner - Family in Boise, ID

Q: What is Sean Smart's NPI number?

The NPI number for Sean Smart is 1295189264. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Q: What is Sean Smart's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Smart was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 15, 2016PECOS EnrolledAccepts Medicare Assignment

300 E JEFFERSON ST STE 101, BOISE, ID 83712(208) 322-1680 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Sean M. Smart Dnp NPPES

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

DR. SEAN M. SMART DNP (NPI 1295189264) is an individual family provider in Boise, Idaho, licensed in Idaho (53509) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295189264

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDR. SEAN M. SMARTCredential: DNP

Location Address300 E JEFFERSON ST STE 101Boise, ID 83712-6221

Mailing Address2506 N 30th StBoise, ID 83703-5429 · (207) 730-1725

Phone(208) 322-1680

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 15, 2016

Last NPPES UpdateJune 22, 2016

✔ NPI 1295189264 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 ID · 53509

300 E JEFFERSON ST STE 101, Boise, ID 83712

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Other Identifiers 3

Other53509ID · Idaho Np License

OtherRN54644ME · Maine Rn License

OtherN41662ID · Idaho Rn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Dr. Sean M. Smart Dnp 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 ID2567757834

PECOS Enrollment IDI20160825000994

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.

Hospital Affiliations CMS Care Compare 3

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130002

Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County

Emergency services Birthing friendly

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 7

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

DR. DAVID JOSEPH COYLE M.D.

Internal Medicine (Interventional Cardiology)