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TRACIE MEDRANO- SMITH D.O
NPI 1710368782
Pediatrics in Wyoming, MI

Active since June 15, 2015PECOS Enrolled
4174 56TH ST SW, WYOMING, MI 49418(616) 458-3677 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2019, Jun 27, 2016 (2 updates tracked since 2016).

About Tracie Medrano- Smith D.o NPPES

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

TRACIE MEDRANO- SMITH D.O (NPI 1710368782) is an individual pediatrics provider in Wyoming, Michigan, licensed in Michigan (5315069986) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710368782
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTRACIE MEDRANO- SMITHCredential: D.O
Location Address4174 56TH ST SWWyoming, MI 49418
Mailing Address4288 3 Mile Rd NwWalker, MI 49534-7596 · (616) 458-3677
Phone(616) 458-3677
Sole ProprietorNo
Enumeration DateJune 15, 2015
Last NPPES UpdateAugust 13, 20192 updates tracked since enumeration
✔ NPI 1710368782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 5315069986
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 5101021683 (MI)
4174 56TH ST SW, Wyoming, MI 49418
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1330 Barclay Ave NE Ste 300Grand Rapids, MI 49503-2527 · Phone (616) 391-8810
Location 24288 3 Mile Rd NWWalker, MI 49534-7596 · Phone (616) 458-3677

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracie Medrano- Smith D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 49418 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Tracie Medrano- Smith's NPI number?

The NPI number for Tracie Medrano- Smith is 1710368782. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Tracie Medrano- Smith located?

Tracie Medrano- Smith practices at 4174 56th St SW, Wyoming, MI 49418. The listed phone number is (616) 458-3677.

What is Tracie Medrano- Smith's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tracie Medrano- Smith enrolled in Medicare?

Yes. Tracie Medrano- Smith is registered in the Medicare PECOS enrollment system.

What insurance does Tracie Medrano- Smith accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Tracie Medrano- 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.

When was this NPI record last updated?

The NPPES record for Tracie Medrano- Smith was last updated on August 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.