MRS. STACEY DENISE SMITH PMHNP-BC
NPI 1972249860
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since May 12, 2022PECOS EnrolledAccepts Medicare Assignment
4645 SAMUELL BLVD, DALLAS, TX 75228(214) 743-1200 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Dec 28, 2022, May 12, 2022 (3 updates tracked since 2022).

About Mrs. Stacey Denise Smith Pmhnp-bc NPPES

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

MRS. STACEY DENISE SMITH PMHNP-BC (NPI 1972249860) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1074508) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972249860
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. STACEY DENISE SMITHCredential: PMHNP-BC
Location Address4645 SAMUELL BLVDDallas, TX 75228-6826
Mailing Address1216 Parkview TrlGlenn Heights, TX 75154-8837 · (214) 455-9640
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 12, 2022
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1972249860 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 TX · 1074508
4645 SAMUELL BLVD, Dallas, TX 75228

Secondary Practice Location 1

Location 19330 Lbj Fwy Ste 948Dallas, TX 75243-3436 · Phone (214) 455-9640

Accepted 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

Mrs. Stacey Denise Smith Pmhnp-bc 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 ID4789054677
PECOS Enrollment IDI20230111000520
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

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.
157 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75228 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 20

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

Counselor (Mental Health)
4645 SAMUELL BLVD
DALLAS, TX 75228
Nurse Practitioner
4645 SAMUELL BLVD
DALLAS, TX 75228
Registered Nurse (Psychiatric/Mental Health)
4645 SAMUELL BLVD
DALLAS, TX 75228
Pharmacist
4645 SAMUELL BLVD
DALLAS, TX 75228
Nurse Practitioner (Psychiatric/Mental Health)
4645 SAMUELL BLVD
DALLAS, TX 75228
Counselor
4645 SAMUELL BLVD
DALLAS, TX 75228
Counselor (Addiction (Substance Use Disorder))
4645 SAMUELL BLVD
DALLAS, TX 75228
Counselor (Professional)
4645 SAMUELL BLVD
DALLAS, TX 75228

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 Stacey Smith's NPI number?

The NPI number for Stacey Smith is 1972249860. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Stacey Smith located?

Stacey Smith practices at 4645 Samuell Blvd, Dallas, TX 75228. The listed phone number is (214) 743-1200.

What is Stacey Smith's specialty?

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

Is Stacey Smith enrolled in Medicare?

Yes. Stacey 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 Stacey Smith accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and WellPoint list Stacey 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 Stacey Smith was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.