AMY L SMITH (M.A., CCC-SLP) – Speech-Language Pathologist, NPI 1033386214

AMY L SMITH (M.A., CCC-SLP) is a healthcare provider. based in Brewer, Maine. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.A., CCC-SLP. They hold a License No. SP1813 (ME). The NPI Number for AMY L SMITH (M.A., CCC-SLP) is 1033386214

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
AMY L SMITH (M.A., CCC-SLP)
NPI
1033386214
Phone
(207) 989-7300
Address
74 PARKWAY S
Enumeration Date
15 May 2008
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078663400
Graduation Year
2007 (19 years ago)
PAC ID
8426562083
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20250708000554
Address ID
ME044733479OR9XXXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

43 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in ME

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Provider Addresses for AMY L SMITH (M.A., CCC-SLP)

  • 74, Parkway South, Brewer, Penobscot County, Maine, 04412, United States

    BREWER, ME 044121628

    Phone: (207) 989-7300

    Fax: (207) 989-4240

    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)

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: 2025-07-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250708000554IQualified Speech Language PathologistMETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04412)

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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: 9032020490View full group profile

Reviews

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Frequently asked questions

Is AMY L SMITH (M.A., CCC-SLP) listed with a National Provider Identifier?
Yes — AMY L SMITH (M.A., CCC-SLP) has NPI 1033386214 on file in the registry.
Is AMY L SMITH (M.A., CCC-SLP) shown as active in public data?
Registry records indicate AMY L SMITH (M.A., CCC-SLP) maintains an active NPI.
What clinical focus is listed for AMY L SMITH (M.A., CCC-SLP)?
At a glance, AMY L SMITH (M.A., CCC-SLP) is tied to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMY L SMITH (M.A., CCC-SLP)?
Travel planning: use Brewer, Maine as the reference point for AMY L SMITH (M.A., CCC-SLP), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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