MR. ROBERT LARRY SMITH (FNP-BC) – Family Nurse Practitioner, NPI 1134450307

MR. ROBERT LARRY SMITH (FNP-BC) is a healthcare provider. based in West memphis, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. APN0000014593 (TN). The NPI Number for MR. ROBERT LARRY SMITH (FNP-BC) is 1134450307

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBERT LARRY SMITH (FNP-BC)
NPI
1134450307
Phone
(901) 303-5040
Address
260D SHOPPINGWAY BLVD
Enumeration Date
27 January 2010
Last Update Date
4 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9017514112
Graduation Year
2009 (17 years ago)
PAC ID
8527191659
Group Practice PAC ID
0648229971
Professional Enrollment ID
I20101006000437
Address ID
TN380184474CO146XXDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MR. ROBERT LARRY SMITH (FNP-BC)

  • 260D SHOPPINGWAY BLVD

    WEST MEMPHIS, AR 723017230

    Phone: (901) 303-5040

    Type: Location

  • 6100 Primacy Pkwy

    Suite 112

    Memphis, TN 381190705

    Phone: (901) 682-5335

    Fax: (901) 682-5440

    Type: Location

  • 6100, Primacy Parkway, White Station, Memphis, Shelby County, Tennessee, 38119, United States

    SUITE 112

    MEMPHIS, TN 381190705

    Phone: (901) 682-5335

    Fax: (901) 682-5440

    Type: Location

  • 5504, North Street, Bartlett, Shelby County, West Tennessee, Tennessee, 38134, United States

    BARTLETT, TN 381343458

    Phone: (901) 382-0347

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $898.

Total Amount is formed as General ($898) + Research ($0) + Ownership ($0) = $898.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($539).

Total Amount

$898

General + Research + Ownership

Payments

59

Total payment records

General Amount

$898

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101006000437INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes208105$0
80307Testing for presence of drug, by chemistry analyzers200109$0
96130Evaluation of psychological test, first hour17279$0
96132Evaluation of neuropsychological test, first hour17279$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes17279$0
View full utilization report →

Insurance plans in this area (ZIP 72301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648229971View full group profile
NameSpecialtyState
-TN
Physician AssistantMS
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerMS
Nurse PractitionerCA
Physician AssistantTN
Anesthesiology, Pain ManagementNC
-TN
Family Practice, Pain Management, Interventional Pain Management, Pain ManagementMS

Reviews

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Frequently asked questions

What federal number belongs to MR. ROBERT LARRY SMITH (FNP-BC)?
The federal identifier for MR. ROBERT LARRY SMITH (FNP-BC) is NPI 1134450307.
Is MR. ROBERT LARRY SMITH (FNP-BC)'s NPI currently valid?
The extract we use shows MR. ROBERT LARRY SMITH (FNP-BC) as active.
Does MR. ROBERT LARRY SMITH (FNP-BC) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MR. ROBERT LARRY SMITH (FNP-BC). Clinical services aligned with this taxonomy classification.
Where is MR. ROBERT LARRY SMITH (FNP-BC)'s primary listing?
We display West Memphis, Arkansas because that is what the record indicates for MR. ROBERT LARRY SMITH (FNP-BC).
What if West Memphis, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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