Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE TERESA SMITH
NPI 1366074452
Nurse Practitioner - Family in Greenbrier, AR

Active since February 07, 2020PECOS EnrolledAccepts Medicare Assignment
20 PARKRIDGE CV, GREENBRIER, AR 72058(402) 802-2019 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Aug 5, 2020, Feb 7, 2020 (3 updates tracked since 2020).

About Nicole Teresa Smith NPPES

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

NICOLE TERESA SMITH (NPI 1366074452) is an individual family provider in Greenbrier, Arkansas, licensed in Arkansas (123650) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366074452
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE TERESA SMITH
Location Address20 PARKRIDGE CVGreenbrier, AR 72058-8072
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 7, 2020
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1366074452 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 AR · 123650
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License NURS-APRN-LIC-284756 (MT)
20 PARKRIDGE CV, Greenbrier, AR 72058

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

Nicole Teresa Smith 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 ID3173949633
PECOS Enrollment IDI20260331001074
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

4

Medicare enrollment records show Nicole Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology
2425 DAVE WARD DR STE 101
Conway, AR 72034
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: University Of Arkansas For Medical Sciences
  • 2,038 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arkansas, Montana and Nebraska enrollments
  • 354 clinicians in this Medicare group
Psychiatry
3058C CHARLES TOWN RD
Kearneysville, WV 25430
  • Reassigned Medicare billing, West Virginia enrollment
  • 25 clinicians in this Medicare group
Addiction Medicine
101 CENTERPOINT DR STE 105
Middletown, CT 06457
  • Reassigned Medicare billing, Kentucky and West Virginia enrollments
  • 22 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72058 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 1366074452. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Where is Nicole Smith located?

Nicole Smith practices at 20 Parkridge Cv, Greenbrier, AR 72058. The listed phone number is (402) 802-2019.

What is Nicole Smith's specialty?

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

Is Nicole Smith enrolled in Medicare?

Yes. Nicole 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 Nicole Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Smith reassigns Medicare benefits to 4 organizations: University Of Arkansas For Medical Science (Conway, AR), Signify Health Medical Associates, PLLC (Dallas, TX), Pai Medical Wv PLLC (Kearneysville, WV) and Pursuecare, LLC (Middletown, CT). 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 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 Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Health Advantage, Octave and Oscar Insurance Company and 2 other insurers 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 October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.