ALISA SMITH (NP) – Nurse Practitioner, NPI 1013407147

ALISA SMITH (NP) is a healthcare provider. based in Andover, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APRN.CNP.0041669 (OH). The NPI Number for ALISA SMITH (NP) is 1013407147

Main info

Female
2 Years Of Experience
Name
ALISA SMITH (NP)
NPI
1013407147
Phone
Not provided
Address
60 COLONIAL DR UNIT 9
Enumeration Date
15 May 2018
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
7214266147
Professional Enrollment ID
I20260312002135
Address ID
MD211573048WE1100XSXXX401

Contacts

Secure Messaging
alisa.shaulskaya@ctcprograms.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness95
Years active:8State licenses:3Other names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for ALISA SMITH (NP)

  • Colonial Drive, Andover, Essex County, Massachusetts, 01864-1298, United States

    ANDOVER, MA 018107356

    Phone:

    Type: Mailing

  • 11 Circle Ave

    Lynn, MA 019053050

    Phone: (781) 346-9941

    Type: Location

  • 814 Elm St Ste 313

    Manchester, NH 031012130

    Phone: (603) 321-0084

    Type: Location

  • 12 KNEELAND RD

    TEWKSBURY, MA 018763315

    Phone:

    Type: Mailing

  • 66K CONCORD ST

    WILMINGTON, MA 018872179

    Phone: (978) 737-7272

    Type: Location

  • PROVIDER ENROLLMENT 41 MALL ROAD

    BURLINGTON, MA 018050001

    Phone: (781) 744-8085

    Type: Mailing

  • 41 MALL RD

    BURLINGTON, MA 018053050

    Phone: (781) 744-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Indivior Inc. ($60).

Total Amount

$74

General + Research + Ownership

Payments

3

Total payment records

General Amount

$74

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

CompanyAmount
Indivior Inc.$60
Alkermes, Inc.$14
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: 2026-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190903000465INurse PractitionerMATBD
I20260312002135INurse PractitionerNHTBD

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 01810)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What unique ID ties claims to ALISA SMITH (NP)?
NPI 1013407147 is assigned to ALISA SMITH (NP) under the national enumeration system.
Is ALISA SMITH (NP) active in the national directory?
ALISA SMITH (NP)'s public NPI profile is in an active state.
What kind of provider is ALISA SMITH (NP)?
The page reflects Nurse Practitioner for ALISA SMITH (NP). Clinical services aligned with this taxonomy classification.
Where is ALISA SMITH (NP)'s primary listing?
We display Andover, Massachusetts because that is what the record indicates for ALISA SMITH (NP).
What if Andover, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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