MRS. VANESSA SMITH NP
NPI 1821989450
Nurse Practitioner - Family in Stockton, CA

Active since July 11, 2025PECOS EnrolledAccepts Medicare Assignment
4523 PEBBLE BEACH DR, STOCKTON, CA 95219(209) 815-1976 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Vanessa Smith Np NPPES

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

MRS. VANESSA SMITH NP (NPI 1821989450) is an individual family provider in Stockton, California, licensed in California (95035756) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1821989450
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. VANESSA SMITHCredential: NP
Location Address4523 PEBBLE BEACH DRStockton, CA 95219-1909
Mailing Address4523 Pebble Beach DrStockton, CA 95219-1909 · (209) 815-1976
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1821989450 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 · 95035756
4523 PEBBLE BEACH DR, Stockton, CA 95219

Other Names 1

Former Name (1)Vanessa Camera Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Vanessa Smith Np 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 ID5092298562
PECOS Enrollment IDI20260312002014
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 Reassignment

Medicare enrollment records show Vanessa Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 W ACACIA ST STE 23
Stockton, CA 95203
  • Reassigned Medicare billing, California enrollment
  • 678 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95219 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 Vanessa Smith's NPI number?

The NPI number for Vanessa Smith is 1821989450. It was assigned to this individual provider in the NPPES registry on July 11, 2025. The provider is also known as Vanessa Camera Rn.

Where is Vanessa Smith located?

Vanessa Smith practices at 4523 Pebble Beach Dr, Stockton, CA 95219. The listed phone number is (209) 815-1976.

What is Vanessa Smith's specialty?

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

Is Vanessa Smith enrolled in Medicare?

Yes. Vanessa Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Vanessa Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Smith reassigns Medicare benefits to Adventist Health Physicians Network (Stockton, CA). The 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 Vanessa 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 Vanessa Smith was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.