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EDMUNDO SMITH FNP
NPI 1710384896
Nurse Practitioner - Family in Johnston, RI

Active since December 04, 2014PECOS EnrolledAccepts Medicare Assignment
1126 HARTFORD AVE, JOHNSTON, RI 02919(401) 519-1940(401) 351-6613 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2023, Aug 19, 2020, Jun 16, 2020 and 2 more (5 updates tracked since 2016).

About Edmundo Smith Fnp NPPES

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

EDMUNDO SMITH FNP (NPI 1710384896) is an individual family provider in Johnston, Rhode Island, licensed in Rhode Island (APRN02389) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1710384896
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEDMUNDO SMITHCredential: FNP
Location Address1126 HARTFORD AVEJohnston, RI 02919-7109
Mailing Address1126 Hartford AveJohnston, RI 02919-7109 · (401) 519-1940 · Fax (401) 351-6613
Phone(401) 519-1940
Fax(401) 351-6613
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 4, 2014
Last NPPES UpdateMarch 27, 20245 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
✔ NPI 1710384896 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 RI · APRN02389✔ Licensed in MA · RN276874✔ Licensed in RI · ETL01150
1126 HARTFORD AVE, Johnston, RI 02919
Open in Google Maps ↗

Secondary Practice Locations 2

Location 133 Maple StNorth Providence, RI 02911-2415 · Phone (401) 519-1940 · Fax (401) 351-6613
Location 2355 Prairie AveProvidence, RI 02905-1928 · Phone (401) 444-0570 · Fax (401) 444-0427

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

Edmundo Smith Fnp 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 ID4082993357
PECOS Enrollment IDI20161110000377, I20210125001335
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

2

Medicare enrollment records show Edmundo Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Providence Community Health Centers, Inc
4.6 mi
Federally Qualified Health Center (FQHC)
375 ALLENS AVE
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 112 clinicians in this Medicare group
NPI 1053313593 (401) 444-0400
Signature Healthcare Medical Group Inc
27 mi
Internal Medicine
110 LIBERTY ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 409 clinicians in this Medicare group
NPI 1508804949 (508) 894-0400

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 02919 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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. JEANNE M VERITY RN
Registered Nurse
1126 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 519-1940
SARAH ELIZABETH CARTER
Social Worker (Clinical)
1126 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 519-1940
TRI-TOWN ECONOMIC OPPORTUNITY COMMITTEE
In Home Supportive Care
1126 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 351-2750
TRI-TOWN ECONOMIC OPPORTUNITY
Community/Behavioral Health
1126 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 351-2750
DR. ALISHA-LYNN HELEN LAPOINTE DDS
Student in an Organized Health Care Education/Training Program
1126 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 519-1940
MISS KELLI RIVELLI LICSW
Social Worker (Clinical)
1126 HARTFORD AVE, SUITE 101
JOHNSTON, RI 02919
Providence County (401) 351-2750
NICOLE C EWING PHDH RDH
Dental Hygienist
1126 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 519-1940
CHARLENE JABLONSKI CASSESE RNP
Nurse Practitioner (Family)
1126 HARTFORD AVE, SUITE 102
JOHNSTON, RI 02919
Providence County (401) 351-2750

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 Edmundo Smith's NPI number?

The NPI number for Edmundo Smith is 1710384896. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Where is Edmundo Smith located?

Edmundo Smith practices at 1126 Hartford Ave, Johnston, RI 02919. The listed phone number is (401) 519-1940.

What is Edmundo Smith's specialty?

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

Is Edmundo Smith enrolled in Medicare?

Yes. Edmundo 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 organizations bill Medicare for Edmundo Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmundo Smith reassigns Medicare benefits to 2 organizations: The Providence Community Health Centers, Inc (Providence, RI) and Signature Healthcare Medical Group Inc (Brockton, MA). 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 Edmundo 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 Edmundo Smith was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.