NICOLE MARIE SMITH (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1548840564

NICOLE MARIE SMITH (DPM) is a healthcare provider. based in Bridgeton, Missouri. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 36.004146 (OH). The NPI Number for NICOLE MARIE SMITH (DPM) is 1548840564

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE SMITH (DPM)
NPI
1548840564
Phone
(314) 344-6000
Address
12303 DePaul Drive
Enumeration Date
13 April 2021
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
7407798575
Graduation Year
2021 (5 years ago)
PAC ID
5395284848
Group Practice PAC ID
1153456579
Professional Enrollment ID
I20240828001446
Address ID
OH456019031CH272XXRDXX300

Contacts

Secure Messaging
adena.abjc@adena.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

285 PODIATRY in MO

Provider Addresses for NICOLE MARIE SMITH (DPM)

  • 12303 DePaul Drive

    Bridgeton, MO 630442512

    Phone: (314) 344-6000

    Type: Location

  • 11875 84TH AVE N

    MAPLE GROVE, MN 553693063

    Phone: (305) 542-1541

    Type: Mailing

  • 272 HOSPITAL RD

    CHILLICOTHE, OH 456019031

    Phone: (740) 779-4598

    Type: Location

  • 12303 DEPAUL DRIVE

    BRIDGETON, MO 630442512

    Phone: (314) 344-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $955.

Total Amount is formed as General ($955) + Research ($0) + Ownership ($0) = $955.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Stryker Corporation ($602).

Total Amount

$955

General + Research + Ownership

Payments

6

Total payment records

General Amount

$955

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

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: 2024-08-28

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
I20240828001446IPodiatryOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63044)

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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: 1153456579View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Physician AssistantOH
O T O L A R Y N G O L O G YOH
Certified Nurse Midwife (Cnm)OH
Family PracticeOH
Thoracic SurgeryOH
Gastroenterology, Internal MedicineOH
Physician AssistantOH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

Can I cross-check NICOLE MARIE SMITH (DPM) using NPI 1548840564?
NPI 1548840564 belongs to NICOLE MARIE SMITH (DPM); compare other details if you need extra assurance.
Active or inactive — what applies to NICOLE MARIE SMITH (DPM)?
You should see NICOLE MARIE SMITH (DPM) as active in CMS-hosted NPPES data.
What kind of doctor is NICOLE MARIE SMITH (DPM)?
NICOLE MARIE SMITH (DPM) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Is NICOLE MARIE SMITH (DPM) associated with Bridgeton?
Public fields place NICOLE MARIE SMITH (DPM) around Bridgeton, Missouri. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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