NICOLE SMITH FNP
NPI 1568822864
Nurse Practitioner in Bend, OR
About Nicole Smith Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE SMITH FNP (NPI 1568822864) is an individual nurse practitioner in Bend, Oregon, licensed in Oregon (201905762NP-PP) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Bend.
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 and accepts Medicare assignment
Nicole Smith Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
- 348 clinicians in this Medicare group
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
- 317 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Charles Medical Center - Bend
Acute Care Hospitals · Bend, ORSt Charles Medical Center Prineville
Critical Access Hospitals · Prineville, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97701 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 Nicole Smith's NPI number?
The NPI number for Nicole Smith is 1568822864. It was assigned to this individual provider in the NPPES registry on February 29, 2016.
Where is Nicole Smith located?
Nicole Smith practices at 2500 NE Neff Rd, Bend, OR 97701. The listed phone number is (541) 388-4333.
What is Nicole Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Nicole Smith enrolled in Medicare?
Yes. Nicole 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 organizations bill Medicare for Nicole Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Smith reassigns Medicare benefits to 2 organizations: St. Charles Health System, Inc. (Bend, OR) and Bend Memorial Clinic PC (Bend, OR). 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 Nicole Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Smith accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nicole 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.
Is Nicole Smith affiliated with any hospitals?
According to CMS data, Nicole Smith is affiliated with St Charles Medical Center - Bend and St Charles Medical Center Prineville.
When was this NPI record last updated?
The NPPES record for Nicole Smith was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Nicole Smith, FNP · NPI 1568822864
Nurse Practitioner physician in Bend, Oregon. Individual provider, active in the CMS NPPES registry since February 29, 2016.
## Identity
- **NPI:** 1568822864 (Entity type: Individual)
- **Enumerated:** February 29, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 201905762NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 NE NEFF RD, Bend, OR 97701-6015
- **Phone:** (541) 388-4333 · **Fax:** (541) 388-3446
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Charles Health System, Inc. (NPI 1023331303, Bend, OR); Bend Memorial Clinic PC (NPI 1699827477, Bend, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 3, 2026
- **Other identifiers:** Medicaid 500788384 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1568822864) · Data from the CMS NPPES public registry.