ELIZABETH MARIE SMITH
NPI 1730712985
Nurse Practitioner - Primary Care in Waterloo, NY
About Elizabeth Marie Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH MARIE SMITH (NPI 1730712985) is an individual primary care provider in Waterloo, New York, licensed in New York (345546) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Marie Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elizabeth Smith's NPI number?
The NPI number for Elizabeth Smith is 1730712985. It was assigned to this individual provider in the NPPES registry on February 17, 2020.
Where is Elizabeth Smith located?
Elizabeth Smith practices at 367 E Main St Ste A, Waterloo, NY 13165. The listed phone number is (315) 787-4977.
What is Elizabeth Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Elizabeth Smith enrolled in Medicare?
Yes. Elizabeth Smith is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elizabeth Smith was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Elizabeth Marie Smith · NPI 1730712985
Primary Care physician in Waterloo, New York. Individual provider, active in the CMS NPPES registry since February 17, 2020.
## Identity
- **NPI:** 1730712985 (Entity type: Individual)
- **Enumerated:** February 17, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 345546 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 367 E MAIN ST STE A, Waterloo, NY 13165-1643
- **Phone:** (315) 787-4977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1730712985) · Data from the CMS NPPES public registry.