DANIEL PATRICK SMITH NP
NPI 1316294358
Nurse Practitioner - Acute Care in Worcester, MA

Active since August 09, 2012PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
55 LAKE AVE N, WORCESTER, MA 01655(774) 443-7552(774) 441-6086 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2022, Oct 30, 2020, Jun 8, 2020 and 1 more (4 updates tracked since 2019).

About Daniel Patrick Smith Np NPPES

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

DANIEL PATRICK SMITH NP (NPI 1316294358) is an individual acute care provider in Worcester, Massachusetts, licensed in Massachusetts (RN2259558) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1316294358
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDANIEL PATRICK SMITHCredential: NP
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885
Fax(774) 441-6086
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 9, 2012
Last NPPES UpdateDecember 2, 20224 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1316294358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MA · RN2259558
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2259558 (MA)
55 LAKE AVE N, Worcester, MA 01655

Secondary Practice Location 1

Location 1119 Belmont StWorcester, MA 01605-2903 · Phone (774) 443-7552 · Fax (774) 441-6086

Other Identifiers 1

Medicaid110094131AMA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Patrick Smith Np 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 ID8022269059
PECOS Enrollment IDI20121121000229, I20250224003731
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

3

Medicare enrollment records show Daniel Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
Obstetrics & Gynecology
200 MEDICAL PARK DR, STE 250
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

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 Daniel Smith's NPI number?

The NPI number for Daniel Smith is 1316294358. It was assigned to this individual provider in the NPPES registry on August 9, 2012.

Where is Daniel Smith located?

Daniel Smith practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 443-7552.

What is Daniel Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Daniel Smith enrolled in Medicare?

Yes. Daniel Smith 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.

Which organizations bill Medicare for Daniel Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Smith reassigns Medicare benefits to 3 organizations: Umass Memorial Medical Group Inc (Worcester, MA), Wake Forest University Health Sciences (Winston Salem, NC) and Carolinas Medical Center (Concord, NC). 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 Daniel Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Smith accept?

Health plans from BlueCross BlueShield of South Carolina, Oscar Health Plan of North Carolina, Inc and Taro Health list Daniel 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.

Is Daniel Smith affiliated with any hospitals?

According to CMS data, Daniel Smith is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Daniel Smith was last updated on December 2, 2022. 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.