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FRANCES SMALTZ FNP
NPI 1295880771
Nurse Practitioner - Family in Wheeling, WV

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
58 16TH STREET, WHEELING, WV 26003(304) 243-6410(304) 243-6411 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frances Smaltz Fnp NPPES

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

FRANCES SMALTZ FNP (NPI 1295880771) is an individual family provider in Wheeling, West Virginia, licensed in West Virginia (31534) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1295880771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFRANCES SMALTZCredential: FNP
Location Address58 16TH STREETWheeling, WV 26003
Mailing Address58 16th StreetWheeling, WV 26003 · (304) 243-6410 · Fax (304) 243-6411
Phone(304) 243-6410
Fax(304) 243-6411
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMay 29, 2020
NPPES CertifiedMay 29, 2020
✔ NPI 1295880771 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 WV · 31534
58 16TH STREET, Wheeling, WV 26003
Open in Google Maps ↗

Other Identifiers 1

Medicaid7105065000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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 and accepts Medicare assignment

Frances Smaltz Fnp 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 ID6002078490
PECOS Enrollment IDI20120501000459
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.

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.
361 services154 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services39 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
33 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers37 claims480 services$18.06 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers39 claims1,229 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers20 claims20 services$176.81 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
29 suppliers181 claims664 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers56 claims101 services$1.07 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers14 claims14 services$344.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

MRS. AMANDA PATRICIA WAKIM MSN,FNP-BC
Nurse Practitioner (Primary Care)
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-6410
SHASHI R URVAL MD
Internal Medicine
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-2998
WHEELING HOSPITAL INC
Home Health
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-4663
MRS. LISA CAROLINE HILL MD
Family Medicine
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 233-8788
MIN WANG LAC/OMD
Acupuncturist
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 234-1911
MATHEW GUS SOKOS M.D.
Family Medicine
58 16TH STREET, WHEELING CLINIC
WHEELING, WV 26003
Ohio County (304) 234-2004
MS. CANDACE ASHLEY ISAACS MD
Family Medicine
58 16TH STREET, SUITE 200
WHEELING, WV 26003
Ohio County (304) 234-2111
KIMBERLY LYNN JUSTICE-CONLEY MSW LCSW
Social Worker (Clinical)
58 16TH STREET
WHEELING, WV 26003
Ohio County (304) 243-8437

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 Frances Smaltz's NPI number?

The NPI number for Frances Smaltz is 1295880771. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Frances Smaltz located?

Frances Smaltz practices at 58 16th Street, Wheeling, WV 26003. The listed phone number is (304) 243-6410.

What is Frances Smaltz's specialty?

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

Is Frances Smaltz enrolled in Medicare?

Yes. Frances Smaltz 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 Frances Smaltz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Frances Smaltz 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 Frances Smaltz affiliated with any hospitals?

According to CMS data, Frances Smaltz is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, Barnesville Hospital Association, Inc, Reynolds Memorial Hospital, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Frances Smaltz was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.