MRS. SERITA M SMITH APRN
NPI 1417203142
Nurse Practitioner - Family in Groton, CT
About Mrs. Serita M Smith Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SERITA M SMITH APRN (NPI 1417203142) is an individual family provider in Groton, Connecticut, licensed in Connecticut (5034) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ellington, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Serita M Smith Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Serita Smith reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 clinicians in this Medicare group
Mansfield Center, CT 06250
- Reassigned Medicare billing, Connecticut enrollment
- 200 clinicians in this Medicare group
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 116 clinicians in this Medicare group
Wellington, FL 33414
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Innovacare Florida Physicians LLC
- 18 clinicians in this Medicare group
Tempe, AZ 85282
- Reassigned Medicare billing, Arizona enrollment
- 67 clinicians in this Medicare group
Phoenix, AZ 85020
- Reassigned Medicare billing, Florida, New Mexico and Nevada enrollments
- 2 clinicians in this Medicare group
Brea, CA 92821
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Adobe Ph Ca Medical Group PC
- 18 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 06340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Serita Smith's NPI number?
The NPI number for Serita Smith is 1417203142. It was assigned to this individual provider in the NPPES registry on July 31, 2012.
Where is Serita Smith located?
Serita Smith practices at 915 Poquonnock Rd, Groton, CT 06340. The listed phone number is (860) 446-0144.
What is Serita Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Serita Smith enrolled in Medicare?
Yes. Serita Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Serita Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Serita Smith reassigns Medicare benefits to 7 organizations: William W Backus Hospital (Norwich, CT), Natchaug Hospital, Inc. (Mansfield Center, CT), Prime Healthcare, PC (Wethersfield, CT), Premier Family Health (Wellington, FL), Adobe Provider Group (Tempe, AZ) and 2 more organizations, listed in the Medicare section above. 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 Serita Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Serita Smith accept?
Health plans from Anthem Blue Cross and Blue Shield list Serita 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 Serita Smith was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Mrs. Serita M Smith, APRN · NPI 1417203142
Family physician in Groton, Connecticut. Individual provider, active in the CMS NPPES registry since July 31, 2012.
## Identity
- **NPI:** 1417203142 (Entity type: Individual)
- **Enumerated:** July 31, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5034 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 915 POQUONNOCK RD, Groton, CT 06340-4257
- **Phone:** (860) 446-0144
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): William W Backus Hospital (NPI 1730243536, Norwich, CT); Natchaug Hospital, Inc. (NPI 1295811321, Mansfield Center, CT); Prime Healthcare, PC (NPI 1184819302, Wethersfield, CT); Premier Family Health (NPI 1245249655, Wellington, FL); Adobe Provider Group (NPI 1659850279, Tempe, AZ); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 10, 2021
- **Other identifiers:** Medicaid 008073642 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1417203142) · Data from the CMS NPPES public registry.