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MONICA JANE SMITH PCPNP
NPI 1962651349
Nurse Practitioner - Pediatrics in Defiance, OH

Active since September 10, 2008PECOS Enrolled
1400 EAST SECOND STREET, DEFIANCE, OH 43512(419) 783-3226(419) 783-2799 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2025, Mar 11, 2022, Oct 1, 2019 (3 updates tracked since 2019).

About Monica Jane Smith Pcpnp NPPES

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

MONICA JANE SMITH PCPNP (NPI 1962651349) is an individual pediatrics provider in Defiance, Ohio, licensed in Ohio (APRN.CNP.10207) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962651349
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMONICA JANE SMITHCredential: PCPNP
Location Address1400 EAST SECOND STREETDefiance, OH 43512
Mailing Address2222 Cherry St Ste 1900Toledo, OH 43608-2673 · (419) 251-3878
Phone(419) 783-3226
Fax(419) 783-2799
Sole ProprietorNo
Enumeration DateSeptember 10, 2008
Last NPPES UpdateApril 14, 20253 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1962651349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OH · APRN.CNP.10207
1400 EAST SECOND STREET, Defiance, OH 43512
Open in Google Maps ↗

Other Identifiers 1

Medicaid2882715OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monica Jane Smith Pcpnp 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.

Medicare Billing Reassignments

2

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

Mercy Medical Partners Northern Region LLC
Same address
Multi-Specialty
1400 E SECOND ST
Defiance, OH 43512
  • Reassigned Medicare billing, Ohio enrollment
  • 136 clinicians in this Medicare group
NPI 1669756532 (419) 784-1414
Northwest Pediatric Specialists, LLC
49 mi
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 clinicians in this Medicare group
NPI 1033709100 (419) 251-3232

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 43512 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Monica Smith's NPI number?

The NPI number for Monica Smith is 1962651349. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Where is Monica Smith located?

Monica Smith practices at 1400 East Second Street, Defiance, OH 43512. The listed phone number is (419) 783-3226.

What is Monica Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Monica Smith enrolled in Medicare?

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

Which organizations bill Medicare for Monica Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Smith reassigns Medicare benefits to 2 organizations: Mercy Medical Partners Northern Region LLC (Defiance, OH) and Northwest Pediatric Specialists, LLC (Toledo, OH). 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 Monica Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Monica 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 Monica Smith was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.