DANIELLE SMITH
NPI 1962075382
Nurse Practitioner - Psychiatric/Mental Health in Pekin, IL

Active since July 22, 2021PECOS EnrolledAccepts Medicare Assignment
111 N 6TH ST STE G1, PEKIN, IL 61554(309) 810-4407(309) 354-2041 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2025, Jul 23, 2021 (2 updates tracked since 2021).

About Danielle Smith NPPES

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

DANIELLE SMITH (NPI 1962075382) is an individual psychiatric/mental health provider in Pekin, Illinois, licensed in Illinois (209023572) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962075382
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDANIELLE SMITH
Location Address111 N 6TH ST STE G1Pekin, IL 61554-3320
Mailing Address111 N 6th St Ste G1Pekin, IL 61554-3320 · (309) 810-4407 · Fax (309) 354-2041
Fax(309) 354-2041
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 22, 2021
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1962075382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209023572
111 N 6TH ST STE G1, Pekin, IL 61554

Accepted Insurance

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

Danielle 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 ID345644902
PECOS Enrollment IDI20230830003658
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 Reassignments

2

Medicare enrollment records show Danielle Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
111 N 6TH ST STE G1
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
Psychologist
2948 ARTESIAN RD STE 112
Naperville, IL 60564
  • Reassigned Medicare billing, Illinois enrollment
  • 475 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 61554 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 3

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

Nurse Practitioner (Psychiatric/Mental Health)
111 N 6TH ST STE G1
PEKIN, IL 61554
Counselor (Mental Health)
111 N 6TH ST STE G1
PEKIN, IL 61554
Nurse Practitioner (Psychiatric/Mental Health)
111 N 6TH ST STE G1
PEKIN, IL 61554

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 Danielle Smith's NPI number?

The NPI number for Danielle Smith is 1962075382. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Where is Danielle Smith located?

Danielle Smith practices at 111 N 6th St Ste G1, Pekin, IL 61554. The listed phone number is (309) 810-4407.

What is Danielle Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Danielle Smith enrolled in Medicare?

Yes. Danielle 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 organizations bill Medicare for Danielle Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Smith reassigns Medicare benefits to 2 organizations: Ensight Mental Health & Wellness PLLC (Pekin, IL) and Edgewood Clinical Services, P.C. (Naperville, IL). Each 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 Danielle Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danielle Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Danielle 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.

When was this NPI record last updated?

The NPPES record for Danielle Smith was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.