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SERGEY SMIRNOV NP
NPI 1699318295
Nurse Practitioner - Family in St Johns, FL

Active since October 26, 2019PECOS EnrolledAccepts Medicare Assignment
255 RIVERTOWN SHOPS DR STE 102-161, ST JOHNS, FL 32259(904) 377-3154 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sergey Smirnov Np NPPES

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

SERGEY SMIRNOV NP (NPI 1699318295) is an individual family provider in St Johns, Florida, licensed in Florida (APRN11005649) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699318295
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSERGEY SMIRNOVCredential: NP
Location Address255 RIVERTOWN SHOPS DR STE 102-161St Johns, FL 32259-7506
Mailing Address6629 Broadway Apt 5cBronx, NY 10471-2040 · (646) 552-6494
Phone(904) 377-3154
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 26, 2019
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1699318295 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
Licenses✔ Licensed in FL · APRN11005649✔ Licensed in NY · 345197
255 RIVERTOWN SHOPS DR STE 102-161, St Johns, FL 32259
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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

Sergey Smirnov 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 ID3375085038
PECOS Enrollment IDI20240610001075
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 Reassignments

3

Medicare enrollment records show Sergey Smirnov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Paragon Wound Care
7.6 mi
Nurse Practitioner
12724 GRAN BAY PKWY W STE 410
Jacksonville, FL 32258
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1568296689 (904) 404-0093
Cogent Healthcare Of Jacksonville, LLC
20 mi
Internal Medicine
655 W 8TH ST
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 440 clinicians in this Medicare group
NPI 1124252333 (904) 244-3850
Sound Physicians Of Florida Vi LLC
281 mi
Internal Medicine
4725 N FEDERAL HWY
Fort Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
  • 197 clinicians in this Medicare group
NPI 1417761073 (954) 771-8000

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 32259 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.

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 Sergey Smirnov's NPI number?

The NPI number for Sergey Smirnov is 1699318295. It was assigned to this individual provider in the NPPES registry on October 26, 2019.

Where is Sergey Smirnov located?

Sergey Smirnov practices at 255 Rivertown Shops Dr Ste 102-161, St Johns, FL 32259. The listed phone number is (904) 377-3154.

What is Sergey Smirnov's specialty?

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

Is Sergey Smirnov enrolled in Medicare?

Yes. Sergey Smirnov 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 Sergey Smirnov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergey Smirnov reassigns Medicare benefits to 3 organizations: Paragon Wound Care (Jacksonville, FL), Cogent Healthcare Of Jacksonville, LLC (Jacksonville, FL) and Sound Physicians Of Florida Vi LLC (Fort Lauderdale, FL). 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 Sergey Smirnov'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 Sergey Smirnov was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.