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MIAH RAVEN SYMONE SMITH
NPI 1477488047
Nurse Practitioner - Family in Matteson, IL

Active since June 16, 2026PECOS EnrolledAccepts Medicare Assignment
402 TOWN CENTER RD, MATTESON, IL 60443(708) 852-5179 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miah Raven Symone Smith NPPES

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

MIAH RAVEN SYMONE SMITH (NPI 1477488047) is an individual family provider in Matteson, Illinois, licensed in Illinois (209035832) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1477488047
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIAH RAVEN SYMONE SMITH
Location Address402 TOWN CENTER RDMatteson, IL 60443-2300
Mailing Address402 Town Center RdMatteson, IL 60443-2300 · (773) 454-7157
Phone(708) 852-5179
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1477488047 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 IL · 209035832
402 TOWN CENTER RD, Matteson, IL 60443
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.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

Miah Raven Symone 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 ID1153889811
PECOS Enrollment IDI20260813002611
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 Reassignment

Medicare enrollment records show Miah Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Express Care 2, Inc
20 mi
Urgent Care
40 75TH ST
Willowbrook, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 410 clinicians in this Medicare group
NPI 1548692890 (630) 400-4060

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 60443 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 6

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

JINAN SHETAYA FNP
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Cook County (708) 852-5179
KAYLA DEAN
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Cook County (708) 852-5179
CHIQUITA ARNET HUDSON
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Cook County (708) 852-5179
MIDWEST EXPRESS CARE 2, INC
Clinic/Center (Urgent Care)
402 TOWN CENTER RD
MATTESON, IL 60443
Cook County (708) 852-5179
MELYNNE BATTON NP
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Cook County (708) 852-5179
MS. ANITA ZAKARI FNP-BC
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Cook County (708) 843-1877

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 Miah Smith's NPI number?

The NPI number for Miah Smith is 1477488047. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Miah Smith located?

Miah Smith practices at 402 Town Center Rd, Matteson, IL 60443. The listed phone number is (708) 852-5179.

What is Miah Smith's specialty?

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

Is Miah Smith enrolled in Medicare?

Yes. Miah 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 organization bills Medicare for Miah Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miah Smith reassigns Medicare benefits to Midwest Express Care 2, Inc (Willowbrook, IL). The 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 Miah Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miah Smith accept?

Health plans from Ambetter Health list Miah 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 Miah Smith was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.