PHYLLIS A SMITH (APRN-CNP) – Nurse Practitioner, NPI 1316417082

PHYLLIS A SMITH (APRN-CNP) is a healthcare provider. based in Hamilton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. 019399 (OH). The NPI Number for PHYLLIS A SMITH (APRN-CNP) is 1316417082

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
PHYLLIS A SMITH (APRN-CNP)
NPI
1316417082
Phone
(151) 326-0103
Address
972 KAHN AVE
Enumeration Date
26 November 2018
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5135841000
Graduation Year
2023 (3 years ago)
PAC ID
6507397379
Group Practice PAC ID
2264344480
Professional Enrollment ID
I20241003002409
Address ID
OH452192369CI3188XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for PHYLLIS A SMITH (APRN-CNP)

  • 972, Kahn Avenue, East Hamilton, Hamilton, Butler County, Ohio, 45011, United States

    HAMILTON, OH 450114458

    Phone: (151) 326-0103

    Type: Mailing

  • 3188 BELLEVUE AVE

    CINCINNATI, OH 452192369

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $251.

Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.

Last reported payment date: 2024-06-09 • Largest payer in this snapshot: Molnlycke Health Care US, LLC ($139).

Total Amount

$251

General + Research + Ownership

Payments

3

Total payment records

General Amount

$251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-09

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: 2024-10-03

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
I20241003002409INurse PractitionerOHTBD

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 45011)

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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: 2264344480View full group profile
NameSpecialtyState
-OH
Radiation OncologyOH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
N E U R O L O G YOH
-OH
-OH
-OH
-OH
Family PracticeOH

Reviews

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Frequently asked questions

Is there an official ID for PHYLLIS A SMITH (APRN-CNP) in U.S. healthcare records?
The official identifier for PHYLLIS A SMITH (APRN-CNP) is NPI 1316417082.
Is PHYLLIS A SMITH (APRN-CNP) still an active registrant?
PHYLLIS A SMITH (APRN-CNP) carries an active NPI according to the public dataset.
What expertise is attributed to PHYLLIS A SMITH (APRN-CNP)?
PHYLLIS A SMITH (APRN-CNP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Ohio is PHYLLIS A SMITH (APRN-CNP) registered?
Use Hamilton, Ohio as the headline location for PHYLLIS A SMITH (APRN-CNP) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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