MS. ELIZABETH ANN SMITH (N.P.) – Family Nurse Practitioner, NPI 1225128762

MS. ELIZABETH ANN SMITH (N.P.) is a healthcare provider. based in Union city, California. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 8739 (CA). The NPI Number for MS. ELIZABETH ANN SMITH (N.P.) is 1225128762

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELIZABETH ANN SMITH (N.P.)
NPI
1225128762
Phone
(510) 454-1000
Address
3553 WHIPPLE RD
Enumeration Date
13 October 2006
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5106754010
Graduation Year
1996 (30 years ago)
PAC ID
1254500978
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20110812000455
Address ID
CA945871507UN3553XRDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

16,538 NURSE PRACTITIONER in CA

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Provider Addresses for MS. ELIZABETH ANN SMITH (N.P.)

  • 3553, Whipple Road, Union City, Alameda County, California, 94587, United States

    UNION CITY, CA 945871507

    Phone: (510) 454-1000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-08-12

PECOS data refreshed: 2026-06-15

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
I20110812000455INurse 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 94587)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

Where can patients find MS. ELIZABETH ANN SMITH (N.P.)'s NPI?
You can confirm MS. ELIZABETH ANN SMITH (N.P.) with NPI 1225128762; it appears in the national provider directory.
Is MS. ELIZABETH ANN SMITH (N.P.) currently active in the NPI registry?
CMS-published data lists MS. ELIZABETH ANN SMITH (N.P.) as an active registrant.
What does MS. ELIZABETH ANN SMITH (N.P.) treat or focus on?
Patients typically see MS. ELIZABETH ANN SMITH (N.P.) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. ELIZABETH ANN SMITH (N.P.)'s primary listing?
We display Union City, California because that is what the record indicates for MS. ELIZABETH ANN SMITH (N.P.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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