MADALYN MARIE SMITH
NPI 1992430664
Nurse Practitioner - Acute Care in Los Angeles, CA

Active since July 18, 2022PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
1245 WILSHIRE BLVD STE 703, LOS ANGELES, CA 90017(213) 977-0419(213) 977-0225 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 7, 2022, Jul 18, 2022 (2 updates tracked since 2022).

About Madalyn Marie Smith NPPES

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

MADALYN MARIE SMITH (NPI 1992430664) is an individual acute care provider in Los Angeles, California, licensed in California (95021723) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992430664
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMADALYN MARIE SMITH
Location Address1245 WILSHIRE BLVD STE 703Los Angeles, CA 90017-4807
Mailing Address1245 Wilshire Blvd Ste 703Los Angeles, CA 90017-4807 · (213) 977-0419 · Fax (213) 977-0225
Fax(213) 977-0225
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 18, 2022
Last NPPES UpdateSeptember 7, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1992430664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95021723
1245 WILSHIRE BLVD STE 703, Los Angeles, CA 90017

Secondary Practice Locations 2

Location 11225 Wilshire BlvdLos Angeles, CA 90017-1901 · Phone (317) 750-4379
Location 215725 Whittier Blvd Ste 500Whittier, CA 90603-2350 · Phone (562) 448-2338 · Fax (562) 464-5122

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

Madalyn Marie 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 ID8729457262
PECOS Enrollment IDI20221206000979
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 Madalyn Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interventional Cardiology
1245 WILSHIRE BLVD STE 570&580
Los Angeles, CA 90017
  • Reassigned Medicare billing, California enrollment
  • 840 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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Improvement Activities40
Cost59.29

Other Providers at the Same Location NPPES

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

Nurse Practitioner
1245 WILSHIRE BLVD STE 703
LOS ANGELES, CA 90017

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 Madalyn Smith's NPI number?

The NPI number for Madalyn Smith is 1992430664. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Madalyn Smith located?

Madalyn Smith practices at 1245 Wilshire Blvd Ste 703, Los Angeles, CA 90017. The listed phone number is (213) 977-0419.

What is Madalyn Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Madalyn Smith enrolled in Medicare?

Yes. Madalyn 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 Madalyn Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madalyn Smith reassigns Medicare benefits to Pih Health Physicians (Los Angeles, CA). 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 Madalyn Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madalyn Smith was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.