MRS. MARIE NICOLE SMITH (RN, CNS) – Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1265711170
Psychiatric/Mental Health Clinical Nurse Specialist
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Profile Insights
NPPES metrics only — not quality of care.
228 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OH
Provider Addresses for MRS. MARIE NICOLE SMITH (RN, CNS)
2110 LEITER RD
MIAMISBURG, OH 453423598
Phone: (937) 384-4838
Fax: (937) 384-4845
Type: Mailing
3700 SOUTHERN BLVD STE 401
KETTERING, OH 454291265
Phone: (855) 500-2873
Fax: (937) 281-3913
Type: Mailing
600 W MAIN ST STE 130
TROY, OH 453733384
Phone: (855) 500-2873
Fax: (937) 980-7057
Type: Location
3737 Southern Blvd
Suite 3200
Kettering, OH 454291262
Phone: (937) 558-3500
Fax: (937) 558-5507
Type: Location
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: 2013-06-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130618000579 | I | Certified Clinical Nurse Specialist (Cns) | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 32 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 47 | 20 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 31 | 31 | $0 |
Insurance plans in this area (ZIP 45342)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Geriatric Medicine, Hematology/Oncology | IL | |
| Nurse Practitioner | OH | |
| Hematology/Oncology, Internal Medicine | OH | |
| Radiation Oncology | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Orthopedic Surgery | OH | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | OH | |
| Physician Assistant | OH | |
| Hospitalist, Emergency Medicine | OH |
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