MARY KATHERINE SMITH FNP-C
NPI 1356065718
Nurse Practitioner - Family in Rome, GA

Active since September 29, 2022PECOS EnrolledAccepts Medicare Assignment
409 W 10TH ST NE, ROME, GA 30165(706) 406-5093 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2024, Sep 29, 2022 (2 updates tracked since 2022).

About Mary Katherine Smith Fnp-c NPPES

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

MARY KATHERINE SMITH FNP-C (NPI 1356065718) is an individual family provider in Rome, Georgia, licensed in Georgia (RN250856) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356065718
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY KATHERINE SMITHCredential: FNP-C
Location Address409 W 10TH ST NERome, GA 30165-2640
Mailing Address409 W 10th St NeRome, GA 30165-2640 · (706) 406-5093
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 29, 2022
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
NPI 1356065718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN250856
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN250856 (GA)
409 W 10TH ST NE, Rome, GA 30165

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

Mary Katherine Smith Fnp-c 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 ID9830628858
PECOS Enrollment IDI20250121001602
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 30165 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 5

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

Nurse Practitioner (Psychiatric/Mental Health)
409 W 10TH ST NE
ROME, GA 30165
Counselor (Mental Health)
409 W 10TH ST NE
ROME, GA 30165
Licensed Practical Nurse
409 W 10TH ST NE
ROME, GA 30165
Nurse Practitioner (Family)
409 W 10TH ST NE
ROME, GA 30165
Nurse Practitioner (Psychiatric/Mental Health)
409 W 10TH ST NE
ROME, GA 30165

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 Mary Smith's NPI number?

The NPI number for Mary Smith is 1356065718. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Where is Mary Smith located?

Mary Smith practices at 409 W 10th St NE, Rome, GA 30165. The listed phone number is (706) 406-5093.

What is Mary Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Smith enrolled in Medicare?

Yes. Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Smith was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.