MARY M. SMITH N.P.
NPI 1548247653
Nurse Practitioner in Minneapolis, MN
About Mary M. Smith N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY M. SMITH N.P. (NPI 1548247653) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in New York (F332178-1) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary M. Smith N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10075
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Northwell Healthcare Inc
- 211 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 55402 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 20
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 Mary Smith's NPI number?
The NPI number for Mary Smith is 1548247653. It was assigned to this individual provider in the NPPES registry on December 29, 2005.
Where is Mary Smith located?
Mary Smith practices at 920 2nd Ave S Suite 400, Minneapolis, MN 55402. The listed phone number is (516) 322-1591.
What is Mary Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mary Smith enrolled in Medicare?
Yes. Mary Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Smith reassigns Medicare benefits to North Shore Long Island Jewish Health Care Inc (New York, NY). 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 Mary 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 Mary Smith was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mary M. Smith, N.P. · NPI 1548247653
Nurse Practitioner physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since December 29, 2005.
## Identity
- **NPI:** 1548247653 (Entity type: Individual)
- **Enumerated:** December 29, 2005
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** F332178-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 920 2ND AVE S, SUITE 400, Minneapolis, MN 55402-3318
- **Phone:** (516) 322-1591
## 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:** North Shore Long Island Jewish Health Care Inc (NPI 1912338385, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2008
- **Other identifiers:** Other 95N642 (NY); Medicaid 02104401 (NY); Medicare ID-Type Unspecified 95N641 (NY); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1548247653) · Data from the CMS NPPES public registry.