MRS. TERESA M SMITH (NP) – Nurse Practitioner, NPI 1225030117

MRS. TERESA M SMITH (NP) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 16181-33 (WI). The NPI Number for MRS. TERESA M SMITH (NP) is 1225030117

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TERESA M SMITH (NP)
NPI
1225030117
Phone
Not provided
Address
PO BOX 955534
Enumeration Date
11 August 2005
Last Update Date
12 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057724130
Graduation Year
2004 (22 years ago)
PAC ID
2365498946
Group Practice PAC ID
7012914898
Professional Enrollment ID
I20250113003535
Address ID
OK730347649ED2749XDRXX300
Telehealth
Yes

Contacts

Secure Messaging
tgibbskramper102388@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness85
Years active:20State licenses:4Other namesUpdated within 12 months

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for MRS. TERESA M SMITH (NP)

  • PO BOX 955534

    SAINT LOUIS, MO 631957213

    Phone:

    Type: Mailing

  • Manchester Road, Ballwin, Saint Louis County, Missouri, 63011, United States

    BALLWIN, MO 630114517

    Phone: (314) 687-2717

    Type: Location

  • 1101 HIGHWAY K STE A

    O FALLON, MO 633668431

    Phone: (314) 687-2730

    Type: Location

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 $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-04-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($18).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-30

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: 2025-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050328000050INurse PractitionerMOTBD
I20241024002094INurse PractitionerWITBD
I20250113003535INurse PractitionerOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4239$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 63195)

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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: 7012914898View full group profile
NameSpecialtyState
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
U R O L O G YOK
Clinical Social WorkerOK
Physician AssistantOK
Family PracticeOK
Physician AssistantOK
Orthopedic SurgeryOK
Family PracticeOK
Family PracticeOK

Reviews

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Frequently asked questions

How do payers reference MRS. TERESA M SMITH (NP)?
For MRS. TERESA M SMITH (NP), use NPI 1225030117 as the unique 10-digit identifier.
Is MRS. TERESA M SMITH (NP) shown as active in public data?
Registry records indicate MRS. TERESA M SMITH (NP) maintains an active NPI.
What clinical focus is listed for MRS. TERESA M SMITH (NP)?
At a glance, MRS. TERESA M SMITH (NP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. TERESA M SMITH (NP)?
Travel planning: use Saint Louis, Missouri as the reference point for MRS. TERESA M SMITH (NP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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