LISA J SMITH (ARNP) – Adult Health Nurse Practitioner, NPI 1275583122

LISA J SMITH (ARNP) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 9201686 (FL). The NPI Number for LISA J SMITH (ARNP) is 1275583122

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
LISA J SMITH (ARNP)
NPI
1275583122
Phone
(904) 633-2021
Address
562 PARK ST
Enumeration Date
11 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043888686
Graduation Year
2004 (22 years ago)
PAC ID
3375556335
Group Practice PAC ID
1850515040
Professional Enrollment ID
I20060718000056
Address ID
FL322044416JA2151XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for LISA J SMITH (ARNP)

  • Park Street, Jacksonville, Duval County, Florida, 32205, United States of America

    SUITE 310

    JACKSONVILLE, FL 322042918

    Phone: (904) 633-2021

    Fax: (904) 633-9793

    Type: Mailing

  • 1801, Barrs Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    SUITE 500

    JACKSONVILLE, FL 322044732

    Phone: (904) 388-1820

    Fax: (904) 388-1827

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,552.

Total Amount is formed as General ($1,552) + Research ($0) + Ownership ($0) = $1,552.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($555).

Total Amount

$1,552

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,552

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-07-18

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
I20060718000056INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2017$0
View full utilization report →

Insurance plans in this area (ZIP 32204)

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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: 1850515040View full group profile
NameSpecialtyState
Nurse PractitionerFL
Certified Registered Nurse Anesthetist (Crna)FL
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
Gastroenterology, Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

How do I look up LISA J SMITH (ARNP) by NPI?
Use NPI 1275583122 when you need to reference LISA J SMITH (ARNP) in forms, claims, or directories.
Does this profile mean LISA J SMITH (ARNP) is currently active?
Yes — LISA J SMITH (ARNP) appears active in the national provider directory.
What does LISA J SMITH (ARNP) treat or focus on?
Patients typically see LISA J SMITH (ARNP) under the specialty Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for LISA J SMITH (ARNP)?
We surface Jacksonville, Florida for LISA J SMITH (ARNP) based on available NPPES addresses.
What if Jacksonville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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