PETER SMITH NP
NPI 1710360102
Nurse Practitioner - Psychiatric/Mental Health in Riverhead, NY

Q: What is Peter Smith's NPI number?

The NPI number for Peter Smith is 1710360102. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Q: What is Peter Smith's specialty?

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

Q: Is Peter Smith enrolled in Medicare?

No. Peter Smith has opted out of Medicare through January 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Peter Smith was last updated on April 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 02, 2015Opted out of Medicare · through Jan 23, 2028

208 ROANOKE AVE, RIVERHEAD, NY 11901(631) 369-0104 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Peter Smith Np NPPES

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

PETER SMITH NP (NPI 1710360102) is an individual psychiatric/mental health provider in Riverhead, New York, licensed in New York (401875) and active in the NPI registry since July 2015. He has opted out of Medicare through January 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710360102

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NamePETER SMITHCredential: NP

Location Address208 ROANOKE AVERiverhead, NY 11901-2706

Mailing Address208 Roanoke AveRiverhead, NY 11901-2706 · (631) 369-0104

Phone(631) 369-0104

Sole ProprietorYes

Enumeration DateJuly 2, 2015

Last NPPES UpdateApril 6, 2016

✔ NPI 1710360102 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

License✔ Licensed in NY · 401875

208 ROANOKE AVE, Riverhead, NY 11901

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Peter Smith Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 23, 2020 through January 23, 2028.

Opt-Out Effective DateJanuary 23, 2020

Opt-Out In Effect ThroughJanuary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

MRS. ELIANA DENARO MSW

Social Worker