BRENDA SMITH NURSE PRACTITIONER
NPI 1447678081
Nurse Practitioner - Family in Upland, CA
About Brenda Smith Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA SMITH NURSE PRACTITIONER (NPI 1447678081) is an individual family provider in Upland, California, licensed in Illinois (209011357 041325955) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brenda Smith Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Brenda Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pomona, CA 91766
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, Mississippi enrollment
- 56 clinicians in this Medicare group
Burr Ridge, IL 60527
- Reassigned Medicare billing, Illinois enrollment
- 3 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 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UPLAND, CA 91786
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 Brenda Smith's NPI number?
The NPI number for Brenda Smith is 1447678081. It was assigned to this individual provider in the NPPES registry on April 1, 2014.
Where is Brenda Smith located?
Brenda Smith practices at 918 W Foothill Blvd, Upland, CA 91786. The listed phone number is (909) 890-5511.
What is Brenda Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brenda Smith enrolled in Medicare?
Yes. Brenda Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brenda Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Smith reassigns Medicare benefits to 4 organizations: Molina Healthcare Of California (Pomona, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA), Molina Care Connections, LLC. (Long Beach, CA) and Mazen Abdel-Hadi, M.D., L.L.C. (Burr Ridge, IL). 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 Brenda Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brenda Smith was last updated on November 15, 2023. 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.
# Brenda Smith, NURSE PRACTITIONER · NPI 1447678081
Family physician in Upland, California. Individual provider, active in the CMS NPPES registry since April 1, 2014.
## Identity
- **NPI:** 1447678081 (Entity type: Individual)
- **Enumerated:** April 1, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209011357 041325955 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 918 W FOOTHILL BLVD, Upland, CA 91786-3772
- **Phone:** (909) 890-5511
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Molina Healthcare Of California (NPI 1932214228, Pomona, CA); Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA); Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA); Mazen Abdel-Hadi, M.D., L.L.C. (NPI 1083273080, Burr Ridge, IL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1447678081) · Data from the CMS NPPES public registry.