EBEN A SMITH (APRN) – Nurse Practitioner, NPI 1205283942

EBEN A SMITH (APRN) is a healthcare provider. based in Tarpon springs, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. ARNP9328268 (FL). The NPI Number for EBEN A SMITH (APRN) is 1205283942

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
EBEN A SMITH (APRN)
NPI
1205283942
Phone
(727) 612-8979
Address
1419 Meres Blvd
Enumeration Date
23 May 2016
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7273221054
Graduation Year
2015 (11 years ago)
PAC ID
1456695402
Group Practice PAC ID
1658274675
Professional Enrollment ID
I20181203002803
Address ID
FL337138900ST1839XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for EBEN A SMITH (APRN)

  • 1419 Meres Blvd

    Tarpon Springs, FL 346892880

    Phone: (727) 612-8979

    Type: Location

  • McMullen Booth Road, Clearwater, Pinellas County, Florida, 33766, United States

    CLEARWATER, FL 33761

    Phone: (727) 726-8871

    Fax: (727) 669-3243

    Type: Location

  • 1419, Meres Boulevard, Tarpon Springs, Pinellas County, Florida, 34689, United States

    TARPON SPRINGS, FL 346892880

    Phone: (727) 612-8979

    Type: Mailing

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: 2018-12-03

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
I20181203002803INurse PractitionerFLTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2,514260$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes15222$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes138113$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes11587$0
99316Nursing facility discharge management, more than 30 minutes4543$0
View full utilization report →

Insurance plans in this area (ZIP 34689)

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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: 1658274675View full group profile

Reviews

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Frequently asked questions

How do payers reference EBEN A SMITH (APRN)?
For EBEN A SMITH (APRN), use NPI 1205283942 as the unique 10-digit identifier.
Active or inactive — what applies to EBEN A SMITH (APRN)?
You should see EBEN A SMITH (APRN) as active in CMS-hosted NPPES data.
What expertise is attributed to EBEN A SMITH (APRN)?
EBEN A SMITH (APRN)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is EBEN A SMITH (APRN) registered?
Use Tarpon Springs, Florida as the headline location for EBEN A SMITH (APRN) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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