Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAWANDA SMITH NP
NPI 1578761664
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
12021 WILMINGTON AVE BLDG 10, LOS ANGELES, CA 90059(562) 295-5916(562) 295-5958 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Sep 2, 2026, May 4, 2022 (3 updates tracked since 2022).

About Lawanda Smith Np NPPES

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

LAWANDA SMITH NP (NPI 1578761664) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (14670) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Inglewood, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1578761664
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAWANDA SMITHCredential: NP
Location Address12021 WILMINGTON AVE BLDG 10Los Angeles, CA 90059-3019
Mailing Address1953 W 73rd StLos Angeles, CA 90047-2106 · (323) 326-4781
Fax(562) 295-5958
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 10, 2007
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1578761664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 14670
Also ListedRegistered NurseTaxonomy 163W00000X · License 561569 (CA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP14670 (CA)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 14670 (CA)
12021 WILMINGTON AVE BLDG 10, Los Angeles, CA 90059

Secondary Practice Location 1

Location 1614 W Manchester Blvd Ste 101Inglewood, CA 90301-1680 · Phone (323) 833-5062

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

Lawanda Smith Np 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 ID143566950
PECOS Enrollment IDI20190116001339
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 Lawanda Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
12021 S WILMINGTON AVE BLDG 18 STE 100, ROOMS 1106, 1109, 1113, 1115, 1116, 1119, 1125, 1129
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 29 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 90059 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Lawanda Smith's NPI number?

The NPI number for Lawanda Smith is 1578761664. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Lawanda Smith located?

Lawanda Smith practices at 12021 Wilmington Ave Bldg 10, Los Angeles, CA 90059. The listed phone number is (562) 295-5916.

What is Lawanda Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lawanda Smith enrolled in Medicare?

Yes. Lawanda 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 Lawanda Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawanda Smith reassigns Medicare benefits to Exodus Recovery, Inc. (Los Angeles, CA). 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 Lawanda 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 Lawanda Smith was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.