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: August 16, 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 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
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

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

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.

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.

Registered Nurse
1126 HARTFORD AVE
JOHNSTON, RI 02919
Social Worker (Clinical)
1126 HARTFORD AVE
JOHNSTON, RI 02919
In Home Supportive Care
1126 HARTFORD AVE
JOHNSTON, RI 02919
Community/Behavioral Health
1126 HARTFORD AVE
JOHNSTON, RI 02919
Student in an Organized Health Care Education/Training Program
1126 HARTFORD AVE
JOHNSTON, RI 02919
Social Worker (Clinical)
1126 HARTFORD AVE, SUITE 101
JOHNSTON, RI 02919
Dental Hygienist
1126 HARTFORD AVE
JOHNSTON, RI 02919
Nurse Practitioner (Family)
1126 HARTFORD AVE, SUITE 102
JOHNSTON, RI 02919

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.

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.