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NICOLE SMITH
NPI 1306526371
Nurse Practitioner - Gerontology in Utica, MI

Active since July 24, 2023PECOS Enrolled
12786 MANDALAY CIR, UTICA, MI 48315(313) 729-3305 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Smith NPPES

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

NICOLE SMITH (NPI 1306526371) is an individual gerontology provider in Utica, Michigan, licensed in Michigan (4704251288) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306526371
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE SMITH
Location Address12786 MANDALAY CIRUtica, MI 48315-6839
Mailing Address12786 Mandalay CirUtica, MI 48315-6839 · (313) 729-3305
Phone(313) 729-3305
Sole ProprietorNo
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
✔ NPI 1306526371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704251288
12786 MANDALAY CIR, Utica, MI 48315
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Smith 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Nicole Smith's NPI number?

The NPI number for Nicole Smith is 1306526371. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Nicole Smith located?

Nicole Smith practices at 12786 Mandalay Cir, Utica, MI 48315. The listed phone number is (313) 729-3305.

What is Nicole Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Smith was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.