DESIREE ANN SMITH PMHNP-BC
NPI 1982474623
Nurse Practitioner - Psychiatric/Mental Health in Hayward, WI

Active since January 04, 2024PECOS EnrolledAccepts Medicare Assignment
15954 RIVERSEDGE DR, HAYWARD, WI 54843(715) 634-2541 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Desiree Ann Smith Pmhnp-bc NPPES

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

DESIREE ANN SMITH PMHNP-BC (NPI 1982474623) is an individual psychiatric/mental health provider in Hayward, Wisconsin, licensed in Wisconsin (16057-33) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1982474623
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDESIREE ANN SMITHCredential: PMHNP-BC
Location Address15954 RIVERSEDGE DRHayward, WI 54843
Mailing Address15954 Riversedge DrHayward, WI 54843 · (715) 634-2541
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 4, 2024
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1982474623 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 WI · 16057-33
15954 RIVERSEDGE DR, Hayward, WI 54843

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

Desiree Ann 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 ID1456884394
PECOS Enrollment IDI20241030001631
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 Desiree Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
15954 RIVERS EDGE DR STE 304
Hayward, WI 54843
  • Reassigned Medicare billing, Wisconsin enrollment
  • 118 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 54843 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 Desiree Smith's NPI number?

The NPI number for Desiree Smith is 1982474623. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Desiree Smith located?

Desiree Smith practices at 15954 Riversedge Dr, Hayward, WI 54843. The listed phone number is (715) 634-2541.

What is Desiree Smith's specialty?

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

Is Desiree Smith enrolled in Medicare?

Yes. Desiree 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 organization bills Medicare for Desiree Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Smith reassigns Medicare benefits to The Lakes Community Health Center, Inc (Hayward, WI). 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 Desiree Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Desiree Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, HealthPartners and Security Health Plan list Desiree 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 Desiree Smith was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.