LISA MARIE SMITH-HANNON (APRN-C) – Gerontology Nurse Practitioner, NPI 1700421450
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for LISA MARIE SMITH-HANNON (APRN-C)
4353 HEYWARD ST
NORTH PORT, FL 342914561
Phone: (941) 416-0972
Type: Location
40 S MAIN ST STE 1300
MEMPHIS, TN 381035513
Phone: (866) 949-0108
Type: Mailing
8875 HIDDEN RIVER PKWY STE 300
TAMPA, FL 336372087
Phone: (866) 949-0108
Type: Location
4353 Heyward St
North Port, FL 342914561
Phone: (941) 416-0972
Type: Location
5325 Lena Rd Ste 101
Bradenton, FL 342119442
Phone: (941) 301-8485
Fax: (941) 799-6841
Type: Location
5325 LENA RD STE 101
BRADENTON, FL 342119442
Phone: (941) 301-8485
Fax: (941) 799-6841
Type: Mailing
5493 WILES RD STE 106
COCONUT CREEK, FL 330734219
Phone: (321) 214-4530
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: 2021-01-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210107001244 | 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 |
|---|---|---|---|---|
| 97811 | Acupuncture, each additional 15 minutes | 694 | 45 | $0 |
| 97810 | Acupuncture, initial 15 minutes | 347 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 238 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 22 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 34291)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | PA |
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