MADDISON K SMITH (FNP-BC) – Family Nurse Practitioner, NPI 1184207276

MADDISON K SMITH (FNP-BC) is a healthcare provider. based in Lapeer, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704326587NSA21098 (MI). The NPI Number for MADDISON K SMITH (FNP-BC) is 1184207276

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MADDISON K SMITH (FNP-BC)
NPI
1184207276
Phone
(810) 358-7371
Address
432 Golfside Dr
Enumeration Date
5 May 2021
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5864213000
Graduation Year
2021 (5 years ago)
PAC ID
8820466337
Group Practice PAC ID
6901296110
Professional Enrollment ID
I20221114002949
Address ID
MI480475720CH30795RDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MADDISON K SMITH (FNP-BC)

  • 432 Golfside Dr

    Lapeer, MI 484467649

    Phone: (810) 358-7371

    Type: Location

  • 1 FORD PL STE 3A

    DETROIT, MI 482023450

    Phone: (313) 874-4806

    Type: Mailing

  • 71050 VAN DYKE RD

    BRUCE TWP, MI 480653898

    Phone: (586) 277-0244

    Type: Location

  • 432 GOLFSIDE DR

    LAPEER, MI 484467649

    Phone: (810) 358-7371

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Inari Medical, Inc. ($109).

Total Amount

$139

General + Research + Ownership

Payments

2

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

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: 2022-11-14

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
I20221114002949INurse PractitionerMITBD

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 48446)

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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: 6901296110View full group profile
NameSpecialtyState
Family PracticeMI
Physician AssistantMI
Family PracticeMI
Diagnostic RadiologyMI
Family PracticeMI
Nurse PractitionerONTARIO
Emergency MedicineMI
Family PracticeMI
Physician AssistantMI
Diagnostic RadiologyMI

Reviews

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Frequently asked questions

Is MADDISON K SMITH (FNP-BC) listed with a National Provider Identifier?
Yes — MADDISON K SMITH (FNP-BC) has NPI 1184207276 on file in the registry.
Would MADDISON K SMITH (FNP-BC) appear as active to a payer?
You can treat MADDISON K SMITH (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MADDISON K SMITH (FNP-BC)?
At a glance, MADDISON K SMITH (FNP-BC) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MADDISON K SMITH (FNP-BC)?
Directory geography for MADDISON K SMITH (FNP-BC) centers on Lapeer, Michigan.
Can I trust this NPI listing for MADDISON K SMITH (FNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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