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PETSY ANN SMITH NP
NPI 1780757187
Nurse Practitioner - Family in Rosedale, NY

Active since November 16, 2006PECOS Enrolled
24315 129TH AVE, ROSEDALE, NY 11422(718) 245-3192 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Petsy Ann Smith Np NPPES

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

PETSY ANN SMITH NP (NPI 1780757187) is an individual family provider in Rosedale, New York, licensed in New York (F332902) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780757187
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePETSY ANN SMITHCredential: NP
Location Address24315 129TH AVERosedale, NY 11422-1007
Mailing Address451 Clarkson Ave, Kings County Hospiyal Medical Board Box 22Brooklyn, NY 11203-2057 · (917) 771-8332
Phone(718) 245-3192
Sole ProprietorYes
Enumeration DateNovember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780757187 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 NY · F332902
24315 129TH AVE, Rosedale, NY 11422
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Other Names 1

Former Name (1)Petsy Ann Elizabeth Kepple- Smith Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petsy Ann 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11422 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Petsy Smith's NPI number?

The NPI number for Petsy Smith is 1780757187. It was assigned to this individual provider in the NPPES registry on November 16, 2006. The provider is also known as Petsy Ann Elizabeth Kepple- Smith Np.

Where is Petsy Smith located?

Petsy Smith practices at 24315 129th Ave, Rosedale, NY 11422. The listed phone number is (718) 245-3192.

What is Petsy Smith's specialty?

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

Is Petsy Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Petsy Smith was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.