BRANDON SMITH (NP) – Nurse Practitioner, NPI 1841675436

BRANDON SMITH (NP) is a healthcare provider. based in Stockton, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NUR-APRN-LIC-194292 (MT). The NPI Number for BRANDON SMITH (NP) is 1841675436

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON SMITH (NP)
NPI
1841675436
Phone
(209) 944-5550
Address
525 W Acacia St
Enumeration Date
23 July 2015
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6017924276
Graduation Year
2015 (11 years ago)
PAC ID
2567779846
Group Practice PAC ID
6103265145
Professional Enrollment ID
I20170131000641
Address ID
MS394745200PR1102XSTXX300

Contacts

Secure Messaging
krmcmedicalrecords@krhdirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:10State licenses:3Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

Provider Addresses for BRANDON SMITH (NP)

  • 525 W Acacia St

    Stockton, CA 952032405

    Phone: (209) 944-5550

    Type: Location

  • 226 9th Ave SE

    Cut Bank, MT 594273332

    Phone: (406) 873-5507

    Fax: (406) 873-3133

    Type: Location

  • 802 2nd St SE

    Cut Bank, MT 594273329

    Phone: (406) 873-2251

    Fax: (406) 873-3118

    Type: Location

  • PO BOX 1007

    LUCEDALE, MS 394521007

    Phone: (601) 947-1330

    Fax: (601) 947-1331

    Type: Mailing

  • 1017 JACKSON AVE

    LEAKESVILLE, MS 394519105

    Phone: (601) 394-2820

    Type: Location

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: 2024-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170131000641INurse PractitionerMSTBD
I20240119002642INurse PractitionerMTTBD

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
99284Emergency department visit with moderate level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 95203)

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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: 6103265145View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineMS
Emergency MedicineMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

Can I cross-check BRANDON SMITH (NP) using NPI 1841675436?
NPI 1841675436 belongs to BRANDON SMITH (NP); compare other details if you need extra assurance.
Is BRANDON SMITH (NP) still an active registrant?
BRANDON SMITH (NP) carries an active NPI according to the public dataset.
What area of care is associated with BRANDON SMITH (NP)?
BRANDON SMITH (NP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is BRANDON SMITH (NP) located near Stockton?
BRANDON SMITH (NP) currently maps to Stockton, California in this extract.
Does BRANDON SMITH (NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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