NIKEDA SMITH (PA-C) – Emergency Medicine Physician, NPI 1336530112
Emergency Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for NIKEDA SMITH (PA-C)
575 GLENBROOK CIR
ROCKLEDGE, FL 329554709
Phone: (321) 693-9834
Type: Mailing
951 N WASHINGTON AVE
TITUSVILLE, FL 327962163
Phone: (321) 268-6111
Type: Location
720 W OAK ST STE 303
KISSIMMEE, FL 347414992
Phone: (407) 520-3947
Type: Location
1350 Hickory St
Melbourne, FL 329013224
Phone: (321) 434-1401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $70.
Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Amgen Inc. ($70).
Total Amount
$70
General + Research + Ownership
Payments
1
Total payment records
General Amount
$70
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $70 |
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: 2024-01-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150728003082 | I | Physician Assistant | FL | TBD |
| I20240103003587 | I | Physician Assistant | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32955)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), General Surgery | FL | |
| Physician Assistant | FL | |
| General Surgery | TX | |
| General Surgery | NY | |
| General Surgery | FL | |
| Physician Assistant | OH | |
| Physician Assistant | FL | |
| General Surgery | MI | |
| Physician Assistant | FL | |
| General Surgery | NY |
Reviews
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