MRS. DIANA BEATRICE SMITH (FNPC-C) – Family Nurse Practitioner, NPI 1548515828
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for MRS. DIANA BEATRICE SMITH (FNPC-C)
802 KENYON RD
513
FORT DODGE, IA 505015740
Phone: (515) 574-6890
Type: Mailing
804 KENYON RD
SUITE M
FORT DODGE, IA 505015742
Phone: (515) 574-6850
Fax: (515) 576-4510
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $721.
Total Amount is formed as General ($721) + Research ($0) + Ownership ($0) = $721.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($348).
Total Amount
$721
General + Research + Ownership
Payments
28
Total payment records
General Amount
$721
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $348 |
| Novo Nordisk Inc | $129 |
| Merck Sharp & Dohme LLC | $83 |
| Lilly USA, LLC | $48 |
| Abbott Laboratories | $40 |
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: 2012-10-23
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 |
|---|---|---|---|---|
| I20121023000582 | I | Nurse Practitioner | IA | 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 50501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IA | 17003 | Destruction of 2-14 skin growths | 93 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Family Practice, Emergency Medicine | IA | |
| Mental Health Counselor | IA | |
| - | IA | |
| Physician Assistant | IA | |
| P O D I A T R Y | IA | |
| Nurse Practitioner | IA | |
| General Surgery | IA | |
| - | PA | |
| Nurse Practitioner | IA |
Reviews
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