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DR. WANDA IVELISSE SMITH M.D.; MPH
NPI 1972797348
General Practice in Orlando, FL

Active since August 29, 2007PECOS Enrolled
1301 W COLONIAL DR, ORLANDO, FL 32804(407) 246-1946(855) 895-5749 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Mar 9, 2021, Jun 3, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Wanda Ivelisse Smith M.d.; Mph NPPES

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

DR. WANDA IVELISSE SMITH M.D.; MPH (NPI 1972797348) is an individual general practice provider in Orlando, Florida, licensed in Florida (ACN897) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972797348
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. WANDA IVELISSE SMITHCredential: M.D.; MPH
Location Address1301 W COLONIAL DROrlando, FL 32804-7133
Mailing Address4440 Fruitville RdSarasota, FL 34232-1926 · (941) 366-0134
Phone(407) 246-1946
Fax(855) 895-5749
Sole ProprietorYes
Enumeration DateAugust 29, 2007
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1972797348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN897
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License ACN897 (FL), 7586 (PR)
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License MPH (PR)
1301 W COLONIAL DR, Orlando, FL 32804
Open in Google Maps ↗

Other Identifiers 4

Other2542FL · Diplomate American Board Of Sexology
Medicaid020108900FL
OtherXX86PR · Md License
OtherACN 897FL · Md License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wanda Ivelisse Smith M.d.; Mph 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 Reassignment

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

Sante Plus Medical Center
137 mi
Family Medicine
3822 BROADWAY STE A&B
Fort Myers, FL 33901
  • Reassigned Medicare billing, Florida enrollment
  • 16 clinicians in this Medicare group
NPI 1639759475 (239) 603-2377

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

Other Providers at the Same Location NPPES 7

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

KELSEY EICKELMAN
Physician Assistant (Medical)
1301 W COLONIAL DR
ORLANDO, FL 32804
Orange County (407) 246-1946
GERARD KIMBLE FISHER
Social Worker (Clinical)
1301 W COLONIAL DR
ORLANDO, FL 32804
Orange County (407) 246-1946
JACQUELINE Y SPENCE-THOMPSON ARNP, FNP
Nurse Practitioner (Family)
1301 W COLONIAL DR
ORLANDO, FL 32804
Orange County (407) 246-1946
ESTHER C SCHUMANN MD
Family Medicine
1301 W COLONIAL DR
ORLANDO, FL 32804
Orange County (407) 246-1946
CAN COMMUNITY HEALTH, INC.
Internal Medicine (Infectious Disease)
1301 W COLONIAL DR
ORLANDO, FL 32804
Orange County (407) 246-1946
VINCENZO SCOTTO D'ANTUONO MD
Internal Medicine (Infectious Disease)
1301 W COLONIAL DR
ORLANDO, FL 32804
Orange County (407) 246-1946
TRACY BURBINE LMHC
Counselor (Mental Health)
1301 W COLONIAL DR
ORLANDO, FL 32804
Orange County (407) 246-1946

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 Wanda Smith's NPI number?

The NPI number for Wanda Smith is 1972797348. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Wanda Smith located?

Wanda Smith practices at 1301 W Colonial Dr, Orlando, FL 32804. The listed phone number is (407) 246-1946.

What is Wanda Smith's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Wanda Smith enrolled in Medicare?

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

Which organization bills Medicare for Wanda Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Smith reassigns Medicare benefits to Sante Plus Medical Center (Fort Myers, FL). 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 Wanda Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wanda Smith accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Wanda 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 Wanda Smith was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.