NICOLE TAYLOR SMITH (AUD) – Audiologist, NPI 1265274682

NICOLE TAYLOR SMITH (AUD) is a healthcare provider. based in Shawnee, Oklahoma. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 6237 (OK). The NPI Number for NICOLE TAYLOR SMITH (AUD) is 1265274682

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE TAYLOR SMITH (AUD)
NPI
1265274682
Phone
(405) 273-6203
Address
3954 N KICKAPOO AVE STE 5
Enumeration Date
7 June 2024
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052736203
Graduation Year
2024 (2 years ago)
PAC ID
6608310198
Group Practice PAC ID
3072050079
Professional Enrollment ID
I20240625003435
Address ID
OK748041635SH3954XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

128 QUALIFIED AUDIOLOGIST in OK

Provider Addresses for NICOLE TAYLOR SMITH (AUD)

  • 3954 N KICKAPOO AVE STE 5

    SHAWNEE, OK 748041698

    Phone: (405) 273-6203

    Mailing address matches the actual address.

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: 2024-06-25

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
I20240625003435IQualified AudiologistOKTBD

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 74804)

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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: 3072050079View full group profile
NameSpecialtyState
Qualified AudiologistOK
Qualified AudiologistOK

Reviews

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Frequently asked questions

What number should I use to identify NICOLE TAYLOR SMITH (AUD) for billing?
Administrative and clinical systems typically use NPI 1265274682 for NICOLE TAYLOR SMITH (AUD).
Does the public listing show NICOLE TAYLOR SMITH (AUD) as active?
NICOLE TAYLOR SMITH (AUD)'s NPI record reflects an active status in NPPES.
How should patients interpret NICOLE TAYLOR SMITH (AUD)'s specialty?
The extract shows Audiologist for NICOLE TAYLOR SMITH (AUD). Clinical services aligned with this taxonomy classification.
Which community is linked to NICOLE TAYLOR SMITH (AUD)?
NICOLE TAYLOR SMITH (AUD) shows a connection to Shawnee, Oklahoma in registry-derived data.
Can I export NICOLE TAYLOR SMITH (AUD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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