LACIE JO SMITH (APRN-CNP) – Family Nurse Practitioner, NPI 1720619059
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for LACIE JO SMITH (APRN-CNP)
1805 27TH ST
PORTSMOUTH, OH 456622640
Phone: (740) 356-5000
Type: Location
67 FRANK PUCKETT RD
OAK HILL, OH 456569780
Phone: (740) 418-0632
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $1,212.
Total Amount is formed as General ($1,212) + Research ($0) + Ownership ($0) = $1,212.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Endologix LLC ($499).
Total Amount
$1,212
General + Research + Ownership
Payments
43
Total payment records
General Amount
$1,212
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endologix LLC | $499 |
| ABBVIE INC. | $290 |
| Braeburn Inc. | $106 |
| Janssen Pharmaceuticals, Inc | $92 |
| Alkermes, Inc. | $54 |
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: 2020-09-30
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 |
|---|---|---|---|---|
| I20200930001460 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45662)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | OH | |
| - | OH | |
| Family Practice | OH | |
| Mental Health Counselor | OH | |
| Mental Health Counselor | KY | |
| Mental Health Counselor | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH |
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