MRS. NICOLE LYNN SMITH APRN
NPI 1417713462
Nurse Practitioner - Family in Minneapolis, MN

Q: What is Nicole Smith's NPI number?

The NPI number for Nicole Smith is 1417713462. It was assigned to this individual provider in the NPPES registry on February 27, 2024.

Q: What is Nicole Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Smith was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 27, 2024PECOS Enrolled

100 WASHINGTON AVE S STE 900, MINNEAPOLIS, MN 55401(855) 370-2406 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Nicole Lynn Smith Aprn NPPES

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

MRS. NICOLE LYNN SMITH APRN (NPI 1417713462) is an individual family provider in Minneapolis, Minnesota, licensed in Florida (APRN11031502) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417713462

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. NICOLE LYNN SMITHCredential: APRN

Location Address100 WASHINGTON AVE S STE 900Minneapolis, MN 55401-2455

Mailing Address100 Washington Ave S Ste 900Minneapolis, MN 55401-2455 · (855) 370-2406

Phone(855) 370-2406

Sole ProprietorNo

Enumeration DateFebruary 27, 2024

NPPES CertifiedFebruary 27, 2024

✔ NPI 1417713462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11031502

100 WASHINGTON AVE S STE 900, Minneapolis, MN 55401

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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. Nicole Lynn Smith Aprn 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 55401 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 17

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

ANGELA SEGER

Nurse Practitioner (Acute Care)