CATHERINE DOLPHIN SMITH NP
NPI 1336629641
Nurse Practitioner - Adult Health in Ballwin, MO

Active since August 16, 2018PECOS EnrolledAccepts Medicare Assignment
15945 CLAYTON RD STE 120B, BALLWIN, MO 63011(636) 256-5070(636) 256-5066 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2018, Aug 16, 2018 (2 updates tracked since 2018).

About Catherine Dolphin Smith Np NPPES

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

CATHERINE DOLPHIN SMITH NP (NPI 1336629641) is an individual adult health provider in Ballwin, Missouri, licensed in Missouri (2018024092) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1336629641
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCATHERINE DOLPHIN SMITHCredential: NP
Location Address15945 CLAYTON RD STE 120BBallwin, MO 63011-2490
Mailing Address15945 Clayton Rd Ste 120bBallwin, MO 63011-2490 · (636) 256-5070 · Fax (696) 256-5066
Fax(636) 256-5066
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 16, 2018
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1336629641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MO · 2018024092
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2018024092 (MO)
15945 CLAYTON RD STE 120B, Ballwin, MO 63011

Accepted 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

Catherine Dolphin 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 ID7416328133
PECOS Enrollment IDI20230117001638
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 2

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.
51 services40 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital Washington

Acute Care Hospitals · Washington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260052
Location901 East 5th StreetWashington, MO 63090 · Franklin County
Emergency services

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 2

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

Internal Medicine (Rheumatology)
15945 CLAYTON RD STE 120B
BALLWIN, MO 63011
Internal Medicine (Rheumatology)
15945 CLAYTON RD STE 120B
BALLWIN, MO 63011

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 Catherine Smith's NPI number?

The NPI number for Catherine Smith is 1336629641. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Where is Catherine Smith located?

Catherine Smith practices at 15945 Clayton Rd Ste 120B, Ballwin, MO 63011. The listed phone number is (636) 256-5070.

What is Catherine Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Catherine Smith enrolled in Medicare?

Yes. Catherine 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.

What insurance does Catherine Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Catherine 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 Catherine Smith affiliated with any hospitals?

According to CMS data, Catherine Smith is affiliated with Mercy Hospital St Louis, Mercy Hospital Washington and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Catherine Smith was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.