MS. RANDELL PAIGE SMITH (FNP-BC) – Family Nurse Practitioner, NPI 1144640293
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,353 NURSE PRACTITIONER in CA
Provider Addresses for MS. RANDELL PAIGE SMITH (FNP-BC)
1010 1ST ST SE
STE 110
BANDON, OR 974119301
Phone: (908) 489-6214
Type: Mailing
5644 MISSION CENTER RD
SAN DIEGO, CA 921084328
Phone: (908) 489-6214
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: 2016-07-20
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 |
|---|---|---|---|---|
| I20160720001412 | I | Nurse Practitioner | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 20 | 17 | $0 |
Insurance plans in this area (ZIP 97411)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| N E U R O L O G Y | OR | |
| Physician Assistant | MI | |
| Cardiovascular Disease (Cardiology) | ME | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | RI | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| Cardiovascular Disease (Cardiology) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | MT | |
| Diagnostic Radiology, Interventional Radiology | ID |
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