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JUALYNDA CAROL SMITH FNP-C
NPI 1720518772
Nurse Practitioner - Family in Los Angeles, CA

Active since June 13, 2017PECOS Enrolled
12301 WILSHIRE BLVD STE 200, LOS ANGELES, CA 90025(310) 828-2293(310) 453-3759 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2023, Jun 13, 2017 (2 updates tracked since 2017).

About Jualynda Carol Smith Fnp-c NPPES

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

JUALYNDA CAROL SMITH FNP-C (NPI 1720518772) is an individual family provider in Los Angeles, California, licensed in California (95006415) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rancho Mirage.

NPPES Registry Identity

NPI1720518772
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUALYNDA CAROL SMITHCredential: FNP-C
Location Address12301 WILSHIRE BLVD STE 200Los Angeles, CA 90025-1023
Mailing Address12301 Wilshire Blvd Ste 200Los Angeles, CA 90025-1023 · (310) 828-2293 · Fax (310) 453-3759
Phone(310) 828-2293
Fax(310) 453-3759
Sole ProprietorNo
Enumeration DateJune 13, 2017
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1720518772 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
License✔ Licensed in CA · 95006415
12301 WILSHIRE BLVD STE 200, Los Angeles, CA 90025
Open in Google Maps ↗

Secondary Practice Location 1

Location 139000 Bob Hope DrRancho Mirage, CA 92270-3221 · Phone (760) 340-3911 · Fax (760) 773-1448

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jualynda Carol Smith Fnp-c 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers484 claims484 services$33.90 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers151 claims151 services$75.28 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers154 claims458 services$28.87 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers214 claims1,236 services$16.33 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers154 claims896 services$12.70 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers374 claims374 services$47.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL NORMAN, M.D., INC.
Internal Medicine (Sleep Medicine)
12301 WILSHIRE BLVD STE 200
LOS ANGELES, CA 90025
Los Angeles County (310) 968-6339
EUNICE OGUTU
Nurse Practitioner (Family)
12301 WILSHIRE BLVD STE 200
LOS ANGELES, CA 90025
Los Angeles County (310) 828-2293
DR. DANIEL NORMAN M.D.
Internal Medicine (Sleep Medicine)
12301 WILSHIRE BLVD STE 200
LOS ANGELES, CA 90025
Los Angeles County (310) 968-6339

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 Jualynda Smith's NPI number?

The NPI number for Jualynda Smith is 1720518772. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Jualynda Smith located?

Jualynda Smith practices at 12301 Wilshire Blvd Ste 200, Los Angeles, CA 90025. The listed phone number is (310) 828-2293.

What is Jualynda Smith's specialty?

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

Is Jualynda Smith enrolled in Medicare?

Yes. Jualynda Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jualynda Smith was last updated on October 26, 2023. 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.