LAVADA JEAN SMITH (ANP) – Nurse Practitioner, NPI 1164691945

LAVADA JEAN SMITH (ANP) is a healthcare provider. based in Bridgeton, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. 150496 (MO). The NPI Number for LAVADA JEAN SMITH (ANP) is 1164691945

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LAVADA JEAN SMITH (ANP)
NPI
1164691945
Phone
(314) 317-0600
Address
12303 DE PAUL DR
Enumeration Date
26 February 2008
Last Update Date
20 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184660443
Graduation Year
2005 (21 years ago)
PAC ID
8921184813
Group Practice PAC ID
8022306737
Professional Enrollment ID
I20191002001731
Address ID
IL620351317GO1623XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for LAVADA JEAN SMITH (ANP)

  • 12303 DE PAUL DR

    BRIDGETON, MO 630442512

    Phone: (314) 317-0600

    Fax: (314) 317-0606

    Type: Location

  • 12101, Woodcrest Executive Drive, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SUITE 210

    SAINT LOUIS, MO 631415047

    Phone: (314) 317-0600

    Fax: (314) 317-0606

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $2,459.

Total Amount is formed as General ($2,459) + Research ($0) + Ownership ($0) = $2,459.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Amgen Inc. ($235).

Total Amount

$2,459

General + Research + Ownership

Payments

24

Total payment records

General Amount

$2,459

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2019-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080318000257INurse PractitionerMOTBD
I20191002001731INurse PractitionerILTBD

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
99497Advance care planning, first 30 minutes233212$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes209196$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9565$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5239$0
99239Hospital discharge day management, more than 30 minutes4747$0
View full utilization report →

Insurance plans in this area (ZIP 63044)

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Provider's Procedures

LAVADA JEAN SMITH (ANP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMO81002Urinalysis, manual test3029

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: 8022306737View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationCA
Nurse PractitionerMO
Internal Medicine, HospitalistIL
Nurse PractitionerIL
-IL
Internal MedicineMO

Reviews

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Frequently asked questions

How do I look up LAVADA JEAN SMITH (ANP) by NPI?
Use NPI 1164691945 when you need to reference LAVADA JEAN SMITH (ANP) in forms, claims, or directories.
Is LAVADA JEAN SMITH (ANP) currently active in the NPI registry?
CMS-published data lists LAVADA JEAN SMITH (ANP) as an active registrant.
Does LAVADA JEAN SMITH (ANP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for LAVADA JEAN SMITH (ANP). Clinical services aligned with this taxonomy classification.
Where does public data place LAVADA JEAN SMITH (ANP)?
The snapshot lists Bridgeton, Missouri for LAVADA JEAN SMITH (ANP); download NPPES for the complete set.
How can I contact LAVADA JEAN SMITH (ANP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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