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VIRGINIA SMITH
NPI 1881754968
Nurse Practitioner - Family in Somerville, MA

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
42 CROSS ST, SOMERVILLE, MA 02145(617) 575-5520 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Virginia Smith NPPES

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

VIRGINIA SMITH (NPI 1881754968) is an individual family provider in Somerville, Massachusetts, licensed in Massachusetts (177340) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1881754968
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVIRGINIA SMITH
Location Address42 CROSS STSomerville, MA 02145-3246
Mailing Address42 Cross StSomerville, MA 02145-3246
Phone(617) 575-5520
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1881754968 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 MA · 177340
42 CROSS ST, Somerville, MA 02145
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS72277MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Virginia Smith 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 ID8820018732
PECOS Enrollment IDI20051206000768
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02145 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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

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

ALAYNE GATTO RD
Dietitian, Registered
42 CROSS ST
SOMERVILLE, MA 02145
Middlesex County (617) 665-3990

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 Virginia Smith's NPI number?

The NPI number for Virginia Smith is 1881754968. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Virginia Smith located?

Virginia Smith practices at 42 Cross St, Somerville, MA 02145. The listed phone number is (617) 575-5520.

What is Virginia Smith's specialty?

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

Is Virginia Smith enrolled in Medicare?

Yes. Virginia 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.

What insurance does Virginia Smith accept?

Health plans from Anthem Blue Cross and Blue Shield list Virginia Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Virginia Smith affiliated with any hospitals?

According to CMS data, Virginia Smith is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Virginia Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.