MS. CANDIAS SMITH (FNP-APRN) – Family Nurse Practitioner, NPI 1063915015

MS. CANDIAS SMITH (FNP-APRN) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-APRN. They hold a License No. F1116333 (MO). The NPI Number for MS. CANDIAS SMITH (FNP-APRN) is 1063915015

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. CANDIAS SMITH (FNP-APRN)
NPI
1063915015
Phone
(314) 367-5820
Address
5471 DR MARTIN LUTHER KING DR
Enumeration Date
16 March 2018
Last Update Date
3 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3146538070
Graduation Year
2016 (10 years ago)
PAC ID
4688927940
Group Practice PAC ID
1557269289
Professional Enrollment ID
I20181102001694
Address ID
MO631361049JE7047XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:8State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MS. CANDIAS SMITH (FNP-APRN)

  • 5471, Doctor Martin Luther King Drive, Wells Goodfellow, Cabanne Place, City of Saint Louis, Missouri, 63112, United States

    SAINT LOUIS, MO 631124265

    Phone: (314) 367-5820

    Fax: (314) 367-7010

    Type: Mailing

  • 10990 New Halls Ferry Rd Ste 1

    Saint Louis, MO 631364471

    Phone: (314) 788-6444

    Fax: (314) 788-6504

    Type: Location

  • 10990 NEW HALLS FERRY RD STE 1

    SAINT LOUIS, MO 631364471

    Phone: (314) 788-6444

    Fax: (314) 788-6504

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $615.

Total Amount is formed as General ($615) + Research ($0) + Ownership ($0) = $615.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($480).

Total Amount

$615

General + Research + Ownership

Payments

11

Total payment records

General Amount

$615

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2018-11-02

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
I20181102001694INurse PractitionerMOTBD

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
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2322$0
80061Blood test, lipids (cholesterol and triglycerides)1918$0
80053Blood test, comprehensive group of blood chemicals1515$0
View full utilization report →

Insurance plans in this area (ZIP 63112)

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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: 1557269289View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. CANDIAS SMITH (FNP-APRN)?
MS. CANDIAS SMITH (FNP-APRN) — NPI 1063915015 — is the standard way to identify this listing.
Can I rely on MS. CANDIAS SMITH (FNP-APRN) being an active provider?
As of the registry snapshot, MS. CANDIAS SMITH (FNP-APRN) is marked active.
What is MS. CANDIAS SMITH (FNP-APRN) best known for clinically?
Directory data describes MS. CANDIAS SMITH (FNP-APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MS. CANDIAS SMITH (FNP-APRN)?
MS. CANDIAS SMITH (FNP-APRN)'s geographic hint is Saint Louis, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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