HOLLY ANNE SMITH – Family Nurse Practitioner, NPI 1023598588
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for HOLLY ANNE SMITH
PO BOX 935921
ATLANTA, GA 311935921
Phone:
Type: Mailing
1455 Dunn Ave
Daytona Beach, FL 321141437
Phone: (386) 323-9600
Fax: (386) 323-9695
Type: Location
1425 Dunn Ave
Daytona Beach, FL 321141437
Phone: (386) 323-9600
Fax: (386) 323-9695
Type: Location
870 DUNLAWTON AVE STE 210A
PORT ORANGE, FL 321279274
Phone: (386) 518-3671
Type: Location
1302, River Street, Palatka, Putnam County, Florida, 32177, United States
PALATKA, FL 321775042
Phone: (386) 328-0108
Fax: (386) 325-1086
Type: Mailing
1425, Dunn Avenue, Daytona Beach, Volusia County, Florida, 32114, United States
DAYTONA BEACH, FL 321141437
Phone: (386) 323-9600
Fax: (386) 323-9695
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $1,072.
Total Amount is formed as General ($1,072) + Research ($0) + Ownership ($0) = $1,072.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($362).
Total Amount
$1,072
General + Research + Ownership
Payments
34
Total payment records
General Amount
$1,072
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $362 |
| ABBVIE INC. | $208 |
| Janssen Biotech, Inc. | $201 |
| Ardelyx, Inc. | $84 |
| Takeda Pharmaceuticals U.S.A., Inc. | $73 |
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: 2018-12-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181218001041 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 216 | 184 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 96 | 96 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 62 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 56 | 56 | $0 |
Insurance plans in this area (ZIP 31193)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| U R O L O G Y | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Thoracic Surgery | FL | |
| Internal Medicine | NY | |
| General Surgery | FL | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | FL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Cardiovascular Disease (Cardiology) | FL |
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