MRS. MICHELLE MARIE SMITH R.N. W.H.N.P.
NPI 1407972805
Nurse Practitioner - Women's Health in Lodi, CA

Active since March 21, 2007PECOS Enrolled
999 S FAIRMONT AVE, 235, LODI, CA 95240(209) 334-3333 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Michelle Marie Smith R.n. W.h.n.p. NPPES

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

MRS. MICHELLE MARIE SMITH R.N. W.H.N.P. (NPI 1407972805) is an individual women's health provider in Lodi, California, licensed in California (14526) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407972805
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. MICHELLE MARIE SMITHCredential: R.N. W.H.N.P.
Location Address999 S FAIRMONT AVE, 235Lodi, CA 95240-5100
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateSeptember 6, 2013
NPI 1407972805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in CA · 14526
999 S FAIRMONT AVE, Lodi, CA 95240

Other Identifiers 1

Medicare PINBJ279CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Michelle Marie Smith R.n. W.h.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95240 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 20

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

Surgery
999 S FAIRMONT AVE, SUITE 100
LODI, CA 95240
Internal Medicine
999 S FAIRMONT AVE, SUITE 135
LODI, CA 95240
Internal Medicine
999 S FAIRMONT AVE, #130/135
LODI, CA 95240
Registered Nurse
999 S FAIRMONT AVE, STE. 230
LODI, CA 95240
Registered Nurse
999 S FAIRMONT AVE
LODI, CA 95240
Internal Medicine (Gastroenterology)
999 S FAIRMONT AVE, STE. 115
LODI, CA 95240
Obstetrics & Gynecology
999 S FAIRMONT AVE, STE 230
LODI, CA 95240
Internal Medicine
999 S FAIRMONT AVE, SUITE 135
LODI, CA 95240

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 Michelle Smith's NPI number?

The NPI number for Michelle Smith is 1407972805. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Michelle Smith located?

Michelle Smith practices at 999 S Fairmont Ave 235, Lodi, CA 95240. The listed phone number is (209) 334-3333.

What is Michelle Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Michelle Smith enrolled in Medicare?

Yes. Michelle Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Smith was last updated on September 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.