DR. PHILLIP WAYNE SMITH DNP - NPI 1326874074 - Nurse Practitioner in Cottonwood, AZ

Q: What is Phillip Smith's NPI number?

The NPI number for Phillip Smith is 1326874074. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Q: What is Phillip Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phillip Smith was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

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About Dr. Phillip Wayne Smith Dnp NPPES

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

DR. PHILLIP WAYNE SMITH DNP (NPI 1326874074) is an individual acute care provider in Cottonwood, Arizona, licensed in Arizona (337695) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1326874074

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameDR. PHILLIP WAYNE SMITHCredential: DNP

Location Address450 S WILLARD ST STE 103Cottonwood, AZ 86326-6744

Mailing Address450 S Willard St Ste 103Cottonwood, AZ 86326-6744 · (928) 634-9573 · Fax (928) 634-0135

Phone(928) 634-9573

Fax(928) 634-0135

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 10, 2024

Last NPPES UpdateApril 10, 20262 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1326874074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in AZ · 337695✔ Licensed in UT · 8991411-4405

450 S WILLARD ST STE 103, Cottonwood, AZ 86326

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Secondary Practice Locations 2

Location 1743 Miller Valley RdPrescott, AZ 86301-1813 · Phone (928) 777-9600 · Fax (855) 449-5560

Location 24770 S 900 E Ste 209Murray, UT 84117-4616 · Phone (817) 480-8131

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phillip Wayne Smith Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749757045

PECOS Enrollment IDI20260423002261

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 86326 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 9

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

ELENA SUZANNE SHEA MD

Family Medicine