LYNDA M SMITH (MSN, FNP) – Family Nurse Practitioner, NPI 1053428516

LYNDA M SMITH (MSN, FNP) is a healthcare provider. based in Ooltewah, Tennessee. specializing in Family Nurse Practitioner. They hold the professional credentials MSN, FNP. They hold a License No. 11775 (TN). The NPI Number for LYNDA M SMITH (MSN, FNP) is 1053428516

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
LYNDA M SMITH (MSN, FNP)
NPI
1053428516
Phone
(423) 238-0033
Address
PO BOX 793
Enumeration Date
23 August 2006
Last Update Date
15 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
42387033761005
Graduation Year
2003 (23 years ago)
PAC ID
8527069970
Group Practice PAC ID
1355399130
Professional Enrollment ID
I20070126000598
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for LYNDA M SMITH (MSN, FNP)

  • PO BOX 793

    OOLTEWAH, TN 373630793

    Phone: (423) 238-0033

    Type: Mailing

  • 5121 OOLTEWAH-RINGGOLD ROAD

    SUITE G

    COLLEGEDALE, TN 37315

    Phone: (423) 238-0033

    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: 2007-01-26

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
I20070126000598INurse PractitionerTNTBD

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 37363)

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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: 1355399130View full group profile
NameSpecialtyState
-TN

Reviews

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Frequently asked questions

Does LYNDA M SMITH (MSN, FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LYNDA M SMITH (MSN, FNP) uses 1053428516.
Is LYNDA M SMITH (MSN, FNP) listed as active for patients and plans?
The listing shows LYNDA M SMITH (MSN, FNP) as active in the NPI system.
What taxonomy line describes LYNDA M SMITH (MSN, FNP)?
For research purposes, treat LYNDA M SMITH (MSN, FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for LYNDA M SMITH (MSN, FNP)?
LYNDA M SMITH (MSN, FNP)'s geographic hint is Ooltewah, Tennessee in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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