MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC) – Primary Care Nurse Practitioner, NPI 1538544218

MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC) is a healthcare provider. based in Southfield, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 4704236096 (MI). The NPI Number for MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC) is 1538544218

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC)
NPI
1538544218
Phone
(248) 651-8344
Address
29877 TELEGRAPH RD
Enumeration Date
23 July 2015
Last Update Date
25 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486518344105
Graduation Year
2015 (11 years ago)
PAC ID
8224344171
Group Practice PAC ID
9830221514
Professional Enrollment ID
I20150909000071
Address ID
MI480347661SO29877RDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC)

  • 29877 TELEGRAPH RD

    SUITE 401

    SOUTHFIELD, MI 480341332

    Phone: (248) 651-8344

    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: 2015-09-09

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
I20150909000071INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes26658$0
80307Testing for presence of drug, by chemistry analyzers22854$0
96372Injection of drug or substance under skin or into muscle7929$0
99214Established patient office or other outpatient visit, 30-39 minutes5331$0
20552Injection of trigger points, 1-2 muscles3617$0
View full utilization report →

Insurance plans in this area (ZIP 48034)

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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: 9830221514View full group profile
NameSpecialtyState
Physician AssistantMI
Physical Medicine And Rehabilitation, Pain ManagementMI

Reviews

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Frequently asked questions

What is the registry number for MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC)?
The registry entry for MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC) shows NPI 1538544218.
Does the public listing show MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC) as active?
MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC)'s NPI record reflects an active status in NPPES.
What services align with MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC)'s listing?
MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC)'s public classification highlights Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC)?
MRS. JACQUELINE ELIZABETH SMITH (AGPCNP-BC) is associated with Southfield, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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