MRS. SERITA M SMITH (APRN) – Family Nurse Practitioner, NPI 1417203142
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for MRS. SERITA M SMITH (APRN)
16 MAIN ST
ELLINGTON, CT 060293360
Phone: (860) 871-5402
Fax: (860) 871-5413
Type: Location
16 Main St
Ellington, CT 060293360
Phone: (860) 871-5402
Fax: (860) 871-5413
Type: Location
915 POQUONNOCK RD
GROTON, CT 063404257
Phone: (860) 446-0144
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: 2025-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121009000005 | I | Nurse Practitioner | CT | TBD |
| I20231024000654 | I | Nurse Practitioner | AZ | TBD |
| I20241022002774 | I | Nurse Practitioner | NV | TBD |
| I20250116000424 | I | Nurse Practitioner | CA | TBD |
| I20250603004288 | I | Nurse Practitioner | NM | TBD |
| I20251216003940 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 130 | 111 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 130 | 111 | $0 |
Insurance plans in this area (ZIP 06029)
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