MAGDALENA SMEDRA (APRN) – Family Nurse Practitioner, NPI 1275405086

MAGDALENA SMEDRA (APRN) is a healthcare provider. based in Wethersfield, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 15212 (CT). The NPI Number for MAGDALENA SMEDRA (APRN) is 1275405086

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
MAGDALENA SMEDRA (APRN)
NPI
1275405086
Phone
(860) 263-0253
Address
30 JORDAN LN STE 3
Enumeration Date
22 September 2025
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607492251
Graduation Year
2025 (1 year ago)
PAC ID
2961990247
Group Practice PAC ID
6709787930
Professional Enrollment ID
I20251020000453
Address ID
CT060824588EN151XXAVEX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for MAGDALENA SMEDRA (APRN)

  • 30 JORDAN LN STE 3

    WETHERSFIELD, CT 061091244

    Phone: (860) 263-0253

    Fax: (860) 263-0262

    Type: Mailing

  • 151 HAZARD AVE STE 9

    ENFIELD, CT 060824588

    Phone: (860) 644-1521

    Fax: (860) 644-3335

    Type: Location

  • 54 W Avon Rd Ste 101

    Avon, CT 060013680

    Phone: (860) 644-1521

    Fax: (860) 644-3335

    Type: Location

  • 925 Sullivan Ave Ste 1

    South Windsor, CT 060742080

    Phone: (860) 644-1521

    Fax: (860) 644-3335

    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: 2025-10-20

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
I20251020000453INurse PractitionerCTTBD

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 06109)

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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: 6709787930View full group profile
NameSpecialtyState
Nurse PractitionerMA
Gastroenterology, Internal MedicineCT
Pulmonary Disease, Internal MedicineCT
-CT
Nurse PractitionerCT
Internal Medicine, GastroenterologyCT
Geriatric Medicine, Internal MedicineCT
Nurse PractitionerCT
Nurse PractitionerCT
E N D O C R I N O L O G YCT

Reviews

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Frequently asked questions

How do I look up MAGDALENA SMEDRA (APRN) by NPI?
Use NPI 1275405086 when you need to reference MAGDALENA SMEDRA (APRN) in forms, claims, or directories.
Is MAGDALENA SMEDRA (APRN) active in the national directory?
MAGDALENA SMEDRA (APRN)'s public NPI profile is in an active state.
What does MAGDALENA SMEDRA (APRN) treat or focus on?
Patients typically see MAGDALENA SMEDRA (APRN) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MAGDALENA SMEDRA (APRN) practice in Connecticut?
You will see Wethersfield, Connecticut on file for MAGDALENA SMEDRA (APRN) alongside any extra practice locations.
How can I contact MAGDALENA SMEDRA (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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