MARIE AUGUSTINA SMITH APRN
NPI 1619219375
Nurse Practitioner - Psychiatric/Mental Health in Daytona Beach, FL

Q: What is Marie Smith's NPI number?

The NPI number for Marie Smith is 1619219375. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Q: What is Marie Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marie Smith was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 20, 2013PECOS EnrolledAccepts Medicare Assignment

1220 WILLIS AVE, DAYTONA BEACH, FL 32114(352) 575-0832 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marie Augustina Smith Aprn NPPES

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

MARIE AUGUSTINA SMITH APRN (NPI 1619219375) is an individual psychiatric/mental health provider in Daytona Beach, Florida, licensed in Florida (ARNP9328552) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619219375

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARIE AUGUSTINA SMITHCredential: APRN

Location Address1220 WILLIS AVEDaytona Beach, FL 32114-2810

Mailing Address1220 Willis AveDaytona Beach, FL 32114-2810 · (352) 575-0832

Phone(352) 575-0832

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 20, 2013

Last NPPES UpdateJune 10, 2019

✔ NPI 1619219375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in FL · ARNP9328552✔ Licensed in AZ · AP11238

1220 WILLIS AVE, Daytona Beach, FL 32114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marie Augustina Smith Aprn 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 ID2668613811

PECOS Enrollment IDI20181105002586

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

MARLA MATTOX RN

Registered Nurse (Psychiatric/Mental Health, Adult)