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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: October 18, 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
1,010 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 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.

Which organization bills Medicare for Nicole Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Smith reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Nicole Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Smith accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Nicole 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 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.