MARIAH NICHOLE SMITH (FNP-C) – Primary Care Nurse Practitioner, NPI 1629674015

MARIAH NICHOLE SMITH (FNP-C) is a healthcare provider. based in College station, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1016432 (TX). The NPI Number for MARIAH NICHOLE SMITH (FNP-C) is 1629674015

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARIAH NICHOLE SMITH (FNP-C)
NPI
1629674015
Phone
(979) 207-3300
Address
800 Scott and White Dr
Enumeration Date
10 December 2020
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2547242663
Graduation Year
2020 (6 years ago)
PAC ID
5799197307
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20201223000590
Address ID
TX765080001TE2401XBLDG501
Telehealth
Yes

Contacts

Secure Messaging
msmith656057@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness95
Years active:5State licenses:1Other names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MARIAH NICHOLE SMITH (FNP-C)

  • 800 Scott and White Dr

    College Station, TX 778456440

    Phone: (979) 207-3300

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 800 SCOTT AND WHITE DR

    COLLEGE STATION, TX 778456440

    Phone: (979) 207-3300

    Type: Location

  • 900 SCOTT AND WHITE DR

    COLLEGE STATION, TX 778456419

    Phone: (979) 207-7400

    Fax: (979) 207-7401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $792.

Total Amount is formed as General ($792) + Research ($0) + Ownership ($0) = $792.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: ATRICURE, INC. ($239).

Total Amount

$792

General + Research + Ownership

Payments

22

Total payment records

General Amount

$792

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

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: 2020-12-23

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
I20201223000590INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes470351$0
99215Established patient office or other outpatient visit, 40-54 minutes4742$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 77845)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Does MARIAH NICHOLE SMITH (FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARIAH NICHOLE SMITH (FNP-C) uses 1629674015.
Does CMS list MARIAH NICHOLE SMITH (FNP-C) as active?
Yes — MARIAH NICHOLE SMITH (FNP-C) is active in the NPI listing used on this page.
What is MARIAH NICHOLE SMITH (FNP-C)'s primary classification?
Primary Care Nurse Practitioner is the headline specialty for MARIAH NICHOLE SMITH (FNP-C) here. Clinical services aligned with this taxonomy classification.
Where is MARIAH NICHOLE SMITH (FNP-C) based?
MARIAH NICHOLE SMITH (FNP-C) is tied to College Station, Texas in the data we show; additional addresses may exist on the full record.
Is the information about MARIAH NICHOLE SMITH (FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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