NICOLE L SMITH – Physician Assistant, NPI 1316255474

NICOLE L SMITH is a healthcare provider. based in Lyndhurst, Ohio. specializing in PHYSICIAN ASSISTANT. They hold a License No. 003134 (OH). The NPI Number for NICOLE L SMITH is 1316255474

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE L SMITH
NPI
1316255474
Phone
Not provided
Address
5455 MEADOW WOOD BLVD
Enumeration Date
22 September 2010
Last Update Date
19 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
2668654864
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20110309000527
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for NICOLE L SMITH

  • 5455 MEADOW WOOD BLVD

    LYNDHURST, OH 441243757

    Phone:

    Type: Mailing

  • 9500 EUCLID AVE

    MAIL CODE S80

    CLEVELAND, OH 441950001

    Phone: (216) 445-6677

    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: 2011-03-09

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
I20110309000527IPhysician AssistantOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7540$0
99239Hospital discharge day management, more than 30 minutes2625$0
View full utilization report →

Insurance plans in this area (ZIP 44124)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What number should I use to identify NICOLE L SMITH for billing?
Administrative and clinical systems typically use NPI 1316255474 for NICOLE L SMITH.
Quick check: is NICOLE L SMITH active?
Public NPPES data shows NICOLE L SMITH with an active NPI status right now.
What type of care does NICOLE L SMITH provide?
NICOLE L SMITH's profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to NICOLE L SMITH?
NICOLE L SMITH shows a connection to Lyndhurst, Ohio in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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