ELISA M SMITH (APRN, CNS) – Clinical Nurse Specialist, NPI 1164419644

ELISA M SMITH (APRN, CNS) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials APRN, CNS. They hold a License No. 275 (MN). The NPI Number for ELISA M SMITH (APRN, CNS) is 1164419644

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
ELISA M SMITH (APRN, CNS)
NPI
1164419644
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Enumeration Date
30 September 2005
Last Update Date
8 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128634000
Graduation Year
2000 (26 years ago)
PAC ID
1052456233
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20121210000488
Address ID
MN554073723MI800XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
esmith296765@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

104 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MN

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Provider Addresses for ELISA M SMITH (APRN, CNS)

  • 2925, Chicago Avenue South, Midtown Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55407, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    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)

CMS reports 8 Open Payments records for all available years, with a total value of $636.

Total Amount is formed as General ($636) + Research ($0) + Ownership ($0) = $636.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Abbott Laboratories ($595).

Total Amount

$636

General + Research + Ownership

Payments

8

Total payment records

General Amount

$636

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2012-12-10

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
I20121210000488ICertified Clinical Nurse Specialist (Cns)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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8644$0
99214Established patient office or other outpatient visit, 30-39 minutes4642$0
99215Established patient office or other outpatient visit, 40-54 minutes4132$0
93750Evaluation of lower heart chamber assist device2914$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1811$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What is ELISA M SMITH (APRN, CNS)'s NPI number?
ELISA M SMITH (APRN, CNS)'s NPI is 1164419644 — the number used across U.S. healthcare to identify this provider.
Would ELISA M SMITH (APRN, CNS) appear as active to a payer?
You can treat ELISA M SMITH (APRN, CNS) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with ELISA M SMITH (APRN, CNS)?
ELISA M SMITH (APRN, CNS)'s record emphasizes Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
What locale is associated with ELISA M SMITH (APRN, CNS)?
Directory geography for ELISA M SMITH (APRN, CNS) centers on Minneapolis, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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