DAELYNN JO SMITH (FNP) – Family Nurse Practitioner, NPI 1265891261

DAELYNN JO SMITH (FNP) is a healthcare provider. based in Burley, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. NP-1705A (ID). The NPI Number for DAELYNN JO SMITH (FNP) is 1265891261

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DAELYNN JO SMITH (FNP)
NPI
1265891261
Phone
(208) 878-9432
Address
1404 POMERELLE AVE
Enumeration Date
18 February 2016
Last Update Date
18 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088789432
Graduation Year
2015 (11 years ago)
PAC ID
9830498369
Group Practice PAC ID
5597064709
Professional Enrollment ID
I20160504001142
Address ID
ID833182013BU1404XAVEX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,814 NURSE PRACTITIONER in ID

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Provider Addresses for DAELYNN JO SMITH (FNP)

  • 1404, Pomerelle Avenue, Burley, Cassia County, Idaho, 83318, United States

    SUITE B

    BURLEY, ID 833182012

    Phone: (208) 878-9432

    Fax: (208) 878-4576

    Mailing address matches the actual address.

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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: ABBVIE INC. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$22
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: 2016-05-04

PECOS data refreshed: 2026-06-15

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
I20160504001142INurse PractitionerIDTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2115$0
View full utilization report →

Insurance plans in this area (ZIP 83318)

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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: 5597064709View full group profile
NameSpecialtyState
Physician AssistantID

Reviews

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Frequently asked questions

What number should I use to identify DAELYNN JO SMITH (FNP) for billing?
Administrative and clinical systems typically use NPI 1265891261 for DAELYNN JO SMITH (FNP).
Is DAELYNN JO SMITH (FNP) currently accepting referrals based on NPI status?
Registry metadata lists DAELYNN JO SMITH (FNP) as active.
What services align with DAELYNN JO SMITH (FNP)'s listing?
DAELYNN JO SMITH (FNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to DAELYNN JO SMITH (FNP)?
The directory associates DAELYNN JO SMITH (FNP) with Burley, Idaho. Check all listed addresses for suites or satellite offices.
Can I export DAELYNN JO SMITH (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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