ELIZABETH ANN SMITH – Nurse Practitioner, NPI 1215556782
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for ELIZABETH ANN SMITH
740 S LIMESTONE
125 E MAXWELL ST
LEXINGTON, KY 405360284
Phone: (859) 257-3253
Type: Location
108 Walnut St
Versailles, KY 403831140
Phone: (859) 221-9597
Type: Location
2169 Midland Trl
Shelbyville, KY 400659115
Phone: (502) 633-2115
Type: Location
108 WALNUT ST
VERSAILLES, KY 403831140
Phone: (859) 221-9597
Type: Mailing
2169 MIDLAND TRL
SHELBYVILLE, KY 400659115
Phone: (502) 633-2115
Type: Mailing
10490 SHELBYVILLE RD
LOUISVILLE, KY 402233120
Phone: (502) 245-8853
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2024-03-14 • Largest payer in this snapshot: PFIZER INC. ($62).
Total Amount
$91
General + Research + Ownership
Payments
6
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-04-05
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 |
|---|---|---|---|---|
| I20210405002257 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 31 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 26 | 26 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 26 | 26 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
| G0008 | Administration of influenza virus vaccine | 18 | 18 | $0 |
Insurance plans in this area (ZIP 40536)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | AR | |
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| - | KY |
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