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RAEANN SUE SMITH NP
NPI 1720719578
Nurse Practitioner - Adult Health in Boulder, CO

Active since June 22, 2022PECOS Enrolled
87.51/100
CMS Quality Rating
2919 VALMONT RD STE 204, BOULDER, CO 80301(303) 938-1110 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Raeann Sue Smith Np NPPES

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

RAEANN SUE SMITH NP (NPI 1720719578) is an individual adult health provider in Boulder, Colorado, licensed in Colorado (APN.0997636-NP) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720719578
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRAEANN SUE SMITHCredential: NP
Location Address2919 VALMONT RD STE 204Boulder, CO 80301-1350
Mailing Address2919 Valmont Rd Ste 204Boulder, CO 80301-1350 · (303) 938-1110
Phone(303) 938-1110
Sole ProprietorNo
Enumeration DateJune 22, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1720719578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CO · APN.0997636-NP
2919 VALMONT RD STE 204, Boulder, CO 80301
Open in Google Maps ↗

Other Identifiers 1

OtherAPN.0997636-NPCO · Colorado Department Of Regulatory Agencies

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raeann Sue Smith Np 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.

Medicare Billing Reassignments

2

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

Wisdom Health PC
Same address
Geriatric Medicine
2919 VALMONT RD STE 204
Boulder, CO 80301
  • Reassigned Medicare billing, Colorado enrollment
  • 19 clinicians in this Medicare group
NPI 1407187636 (303) 938-1110
Signify Health Medical Associates, PLLC
677 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Colorado enrollment
  • 290 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
264 services50 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
55 services21 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
20 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80301 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.81
Promoting Interoperability85.36
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. DANIEL DEAN FATHALIKHANI DO
Family Medicine
2919 VALMONT RD STE 204
BOULDER, CO 80301
Boulder County (303) 938-1110
ASHLEY ZEMLICKA AGNP-C
Nurse Practitioner
2919 VALMONT RD STE 204
BOULDER, CO 80301
Boulder County (303) 938-1110
MS. LAURA BETH HUNDEMANN PA-C
Physician Assistant
2919 VALMONT RD STE 204
BOULDER, CO 80301
Boulder County (303) 938-1110
WISDOM HEALTH PC
Internal Medicine (Geriatric Medicine)
2919 VALMONT RD STE 204
BOULDER, CO 80301
Boulder County (303) 938-1110

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 Raeann Smith's NPI number?

The NPI number for Raeann Smith is 1720719578. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Raeann Smith located?

Raeann Smith practices at 2919 Valmont Rd Ste 204, Boulder, CO 80301. The listed phone number is (303) 938-1110.

What is Raeann Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Raeann Smith enrolled in Medicare?

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

Which organizations bill Medicare for Raeann Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raeann Smith reassigns Medicare benefits to 2 organizations: Wisdom Health PC (Boulder, CO) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Raeann 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 Raeann Smith was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.