LISA SMITH (CNM) – Advanced Practice Midwife, NPI 1023079423

LISA SMITH (CNM) is a healthcare provider. based in W. st. paul, Minnesota. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 124016-0 (MN). The NPI Number for LISA SMITH (CNM) is 1023079423

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
LISA SMITH (CNM)
NPI
1023079423
Phone
(651) 602-7552
Address
153 CESAR CHAVEZ ST
Enumeration Date
28 March 2006
Last Update Date
8 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516027500
Graduation Year
1992 (34 years ago)
PAC ID
6002915691
Group Practice PAC ID
2062306434
Professional Enrollment ID
I20070622000065
Address ID
MN551063871SA895XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

251 CERTIFIED NURSE MIDWIFE (CNM) in MN

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Provider Addresses for LISA SMITH (CNM)

  • 153, Cesar Chavez Street, Saint Paul, Ramsey County, Minnesota, 55107, United States

    WESTSIDE COMMUNITY HEALTH SERVICES, INC.

    W. ST. PAUL, MN 551072226

    Phone: (651) 602-7552

    Fax: (651) 602-7580

    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: 2007-06-22

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
I20070622000065ICertified Nurse Midwife (Cnm)MNTBD

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 55107)

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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: 2062306434View full group profile
NameSpecialtyState
Physician AssistantMN
Mental Health CounselorMN
Certified Nurse Midwife (Cnm)MN
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN
-NJ
Family PracticeMN
Clinical Social WorkerFL
Nurse PractitionerMN
-MN

Reviews

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Frequently asked questions

What is the 10-digit NPI for LISA SMITH (CNM)?
LISA SMITH (CNM) — NPI 1023079423 — is the standard way to identify this listing.
Is LISA SMITH (CNM) still practicing?
LISA SMITH (CNM) is currently listed as active in the public NPI registry.
What taxonomy line describes LISA SMITH (CNM)?
For research purposes, treat LISA SMITH (CNM) as Advanced Practice Midwife in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect LISA SMITH (CNM) on a map?
Expect W. St. Paul, Minnesota as a primary anchor for LISA SMITH (CNM) unless the record lists multiple sites.
Why does LISA SMITH (CNM) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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