MS. DESIREE SMITH AGNP-C
NPI 1740876689
Nurse Practitioner - Adult Health in Pasadena, MD

Active since December 15, 2020PECOS EnrolledAccepts Medicare Assignment
90 RITCHIE HWY, PASADENA, MD 21122(410) 987-2003 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 6, 2024, Dec 15, 2020 (2 updates tracked since 2020).

About Ms. Desiree Smith Agnp-c NPPES

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

MS. DESIREE SMITH AGNP-C (NPI 1740876689) is an individual adult health provider in Pasadena, Maryland, licensed in Maryland (R222153) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740876689
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. DESIREE SMITHCredential: AGNP-C
Location Address90 RITCHIE HWYPasadena, MD 21122-4303
Mailing Address16214 Ellipse TerBowie, MD 20716-3242 · (205) 480-7458
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 15, 2020
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
NPI 1740876689 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 MD · R222153
90 RITCHIE HWY, Pasadena, MD 21122

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

Ms. Desiree Smith Agnp-c 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 ID6709147812
PECOS Enrollment IDI20250730003650, I20260407000854
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 21122 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 9

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

Social Worker
90 RITCHIE HWY
PASADENA, MD 21122
Nurse Practitioner
90 RITCHIE HWY
PASADENA, MD 21122
Nurse Practitioner
90 RITCHIE HWY
PASADENA, MD 21122
Nurse Practitioner (Family)
90 RITCHIE HWY
PASADENA, MD 21122
Family Medicine (Hospice and Palliative Medicine)
90 RITCHIE HWY
PASADENA, MD 21122
Hospice Care, Community Based
90 RITCHIE HWY
PASADENA, MD 21122
Nurse Practitioner (Family)
90 RITCHIE HWY
PASADENA, MD 21122
Internal Medicine (Hospice and Palliative Medicine)
90 RITCHIE HWY
PASADENA, MD 21122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740876689, enumerated as an "individual" on December 15, 2020.

The provider is located at 90 RITCHIE HWY PASADENA, MD 21122 and the phone number is (410) 987-2003.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.