MRS. STEPHANIE D. SMITH (CFNP) – Family Nurse Practitioner, NPI 1003055005

MRS. STEPHANIE D. SMITH (CFNP) is a healthcare provider. based in Ellisville, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials CFNP. They hold a License No. R865285 (MS). The NPI Number for MRS. STEPHANIE D. SMITH (CFNP) is 1003055005

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANIE D. SMITH (CFNP)
NPI
1003055005
Phone
(601) 477-5770
Address
1101 HWY 11 S
Enumeration Date
13 February 2009
Last Update Date
13 February 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6013403544
Graduation Year
2007 (19 years ago)
PAC ID
8820113715
Group Practice PAC ID
0941596084
Professional Enrollment ID
I20100915000975
Address ID
MS394438587LA5135XWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

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Provider Addresses for MRS. STEPHANIE D. SMITH (CFNP)

  • US 11, Ellisville, Jones County, Mississippi, 39437, United States

    ELLISVILLE, MS 394374443

    Phone: (601) 477-5770

    Type: Location

  • 57 WATERTANK RD

    LAUREL, MS 394432954

    Phone: (601) 577-1000

    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 $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($22).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2010-09-15

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
I20100915000975INurse PractitionerMSTBD

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
J0696Injection, ceftriaxone sodium, per 250 mg596108$0
99214Established patient office or other outpatient visit, 30-39 minutes504239$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg36393$0
96372Injection of drug or substance under skin or into muscle352148$0
J1885Injection, ketorolac tromethamine, per 15 mg25539$0
View full utilization report →

Insurance plans in this area (ZIP 39437)

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Provider's Procedures

MRS. STEPHANIE D. SMITH (CFNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMS83036Hemoglobin A1C level1212

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: 0941596084View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Family PracticeMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

Is MRS. STEPHANIE D. SMITH (CFNP) listed with a National Provider Identifier?
Yes — MRS. STEPHANIE D. SMITH (CFNP) has NPI 1003055005 on file in the registry.
Active or inactive — what applies to MRS. STEPHANIE D. SMITH (CFNP)?
You should see MRS. STEPHANIE D. SMITH (CFNP) as active in CMS-hosted NPPES data.
How would a patient describe MRS. STEPHANIE D. SMITH (CFNP)'s focus?
For MRS. STEPHANIE D. SMITH (CFNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. STEPHANIE D. SMITH (CFNP)?
Travel planning: use Ellisville, Mississippi as the reference point for MRS. STEPHANIE D. SMITH (CFNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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