NICOLE ANN SMITH (RN, MS, WHNP-BC) – Women's Health Nurse Practitioner, NPI 1568198638

NICOLE ANN SMITH (RN, MS, WHNP-BC) is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MS, WHNP-BC. They hold a License No. RN2347225 (MA). The NPI Number for NICOLE ANN SMITH (RN, MS, WHNP-BC) is 1568198638

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ANN SMITH (RN, MS, WHNP-BC)
NPI
1568198638
Phone
(607) 437-2774
Address
75 DARTMOUTH ST UNIT 1
Enumeration Date
29 July 2022
Last Update Date
29 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789274800
Graduation Year
2021 (5 years ago)
PAC ID
4880064765
Group Practice PAC ID
6204829062
Professional Enrollment ID
I20230111000460
Address ID
MA019152757BE83XXXSTXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for NICOLE ANN SMITH (RN, MS, WHNP-BC)

  • 75 DARTMOUTH ST UNIT 1

    BOSTON, MA 021166009

    Phone: (607) 437-2774

    Type: Mailing

  • 83 HERRICK ST STE 2004

    BEVERLY, MA 019152757

    Phone: (607) 437-2774

    Type: Location

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-01-11

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
I20230111000460INurse PractitionerMATBD

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 02116)

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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: 6204829062View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YFL
Certified Nurse Midwife (Cnm)MA
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
Certified Nurse Midwife (Cnm)MA

Reviews

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Frequently asked questions

How do I look up NICOLE ANN SMITH (RN, MS, WHNP-BC) by NPI?
Use NPI 1568198638 when you need to reference NICOLE ANN SMITH (RN, MS, WHNP-BC) in forms, claims, or directories.
Is NICOLE ANN SMITH (RN, MS, WHNP-BC)'s NPI currently valid?
The extract we use shows NICOLE ANN SMITH (RN, MS, WHNP-BC) as active.
What does NICOLE ANN SMITH (RN, MS, WHNP-BC) treat or focus on?
Patients typically see NICOLE ANN SMITH (RN, MS, WHNP-BC) under the specialty Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for NICOLE ANN SMITH (RN, MS, WHNP-BC)?
We surface Boston, Massachusetts for NICOLE ANN SMITH (RN, MS, WHNP-BC) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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