SAMANTHA SMITH (FNP) – Family Nurse Practitioner, NPI 1033535406

SAMANTHA SMITH (FNP) is a healthcare provider. based in Los angeles, California. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 95000422 (CA). The NPI Number for SAMANTHA SMITH (FNP) is 1033535406

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA SMITH (FNP)
NPI
1033535406
Phone
(213) 380-7298
Address
150 N RENO ST
Enumeration Date
10 March 2014
Last Update Date
25 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2133807298
Graduation Year
2013 (13 years ago)
PAC ID
3173826914
Group Practice PAC ID
3072619618
Professional Enrollment ID
I20160128000341
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for SAMANTHA SMITH (FNP)

  • 150 N RENO ST

    LOS ANGELES, CA 900264656

    Phone: (213) 380-7298

    Fax: (213) 385-1123

    Type: Location

  • 950 S GRAND AVE FL 2

    LOS ANGELES, CA 900153999

    Phone: (323) 669-4346

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Bayer Healthcare LLC ($34).

Total Amount

$101

General + Research + Ownership

Payments

4

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-01-28

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
I20160128000341INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90026)

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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: 3072619618View full group profile
NameSpecialtyState
Nurse PractitionerCA
Clinical Social WorkerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineCA
P O D I A T R YFL
Family PracticeCA
Nurse PractitionerCA
Family PracticeCA

Reviews

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Frequently asked questions

How do payers reference SAMANTHA SMITH (FNP)?
For SAMANTHA SMITH (FNP), use NPI 1033535406 as the unique 10-digit identifier.
Is SAMANTHA SMITH (FNP) shown as active in public data?
Registry records indicate SAMANTHA SMITH (FNP) maintains an active NPI.
How would a patient describe SAMANTHA SMITH (FNP)'s focus?
For SAMANTHA SMITH (FNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMANTHA SMITH (FNP)?
Travel planning: use Los Angeles, California as the reference point for SAMANTHA SMITH (FNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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