LARAE K SMEDLEY (ACNP-BC) – Acute Care Nurse Practitioner, NPI 1083988802

LARAE K SMEDLEY (ACNP-BC) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-BC. They hold a License No. 2012005799 (MO). The NPI Number for LARAE K SMEDLEY (ACNP-BC) is 1083988802

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
LARAE K SMEDLEY (ACNP-BC)
NPI
1083988802
Phone
(314) 251-6339
Address
621 S NEW BALLAS RD
Enumeration Date
24 February 2012
Last Update Date
24 February 2012

Doctor Profile

Medical School Name
ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
3142516075
Graduation Year
2012 (14 years ago)
PAC ID
0648422584
Group Practice PAC ID
6002809944
Professional Enrollment ID
I20121128000693
Address ID
MO631418221SA615XXRDXX558
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for LARAE K SMEDLEY (ACNP-BC)

  • 621 S NEW BALLAS RD

    SUITE 3016B

    SAINT LOUIS, MO 631418232

    Phone: (314) 251-6339

    Fax: (314) 251-4564

    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: 2012-11-28

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
I20121128000693INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10354$0
99238Hospital discharge day management, 30 minutes or less1414$0
99239Hospital discharge day management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 6002809944View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineCA
Nurse PractitionerMO
Internal MedicineMO
-MO
Internal MedicineMO
Hospitalist, Internal MedicineMO
Internal MedicineME
Internal MedicineWI
Physician AssistantMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Where can patients find LARAE K SMEDLEY (ACNP-BC)'s NPI?
You can confirm LARAE K SMEDLEY (ACNP-BC) with NPI 1083988802; it appears in the national provider directory.
Is LARAE K SMEDLEY (ACNP-BC) currently active in the NPI registry?
CMS-published data lists LARAE K SMEDLEY (ACNP-BC) as an active registrant.
What kind of provider is LARAE K SMEDLEY (ACNP-BC)?
The page reflects Acute Care Nurse Practitioner for LARAE K SMEDLEY (ACNP-BC). Clinical services aligned with this taxonomy classification.
Does LARAE K SMEDLEY (ACNP-BC) practice in Missouri?
You will see Saint Louis, Missouri on file for LARAE K SMEDLEY (ACNP-BC) alongside any extra practice locations.
What if Saint Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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