MRS. MARIE NICOLE SMITH (RN, CNS) – Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1265711170

MRS. MARIE NICOLE SMITH (RN, CNS) is a healthcare provider. based in Miamisburg, Ohio. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials RN, CNS. They hold a License No. APRNCNP026015 (OH). The NPI Number for MRS. MARIE NICOLE SMITH (RN, CNS) is 1265711170

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARIE NICOLE SMITH (RN, CNS)
NPI
1265711170
Phone
(937) 384-4838
Address
2110 LEITER RD
Enumeration Date
9 August 2011
Last Update Date
1 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372987751
Graduation Year
2004 (22 years ago)
PAC ID
7911146246
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20130618000579
Address ID
OH454292405KE4441XAVEX400
Telehealth
Yes

Contacts

FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Secure Messaging
msmith517890@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:14State licenses:4Other namesUpdated within 12 months

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130618000579ICertified Clinical Nurse Specialist (Cns)OHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10132$0
90833Psychotherapy with evaluation and management visit, 30 minutes4720$0
90792Psychiatric diagnostic evaluation with medical services3131$0
View full utilization report →

Insurance plans in this area (ZIP 45342)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

Can I verify MRS. MARIE NICOLE SMITH (RN, CNS) with an NPI only?
You can start verification with NPI 1265711170 for MRS. MARIE NICOLE SMITH (RN, CNS), then check state licensing separately.
Is MRS. MARIE NICOLE SMITH (RN, CNS) still practicing?
MRS. MARIE NICOLE SMITH (RN, CNS) is currently listed as active in the public NPI registry.
What is MRS. MARIE NICOLE SMITH (RN, CNS)'s specialty?
The listing groups MRS. MARIE NICOLE SMITH (RN, CNS) with Psychiatric/Mental Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Where is MRS. MARIE NICOLE SMITH (RN, CNS) based?
MRS. MARIE NICOLE SMITH (RN, CNS) is tied to Miamisburg, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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