FAISA ADEN SMITH (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1295625960

FAISA ADEN SMITH (NURSE PRACTITIONER) is a healthcare provider. based in Sandy, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 10440922-4405 (UT). The NPI Number for FAISA ADEN SMITH (NURSE PRACTITIONER) is 1295625960

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
FAISA ADEN SMITH (NURSE PRACTITIONER)
NPI
1295625960
Phone
(801) 816-1010
Address
7410 S CREEK RD STE 100
Enumeration Date
5 July 2025
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8018161010
Graduation Year
2025 (1 year ago)
PAC ID
6204322068
Group Practice PAC ID
4284046335
Professional Enrollment ID
I20251231001364
Address ID
UT840936151SA7410XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for FAISA ADEN SMITH (NURSE PRACTITIONER)

  • 7410 S CREEK RD STE 100

    SANDY, UT 840936151

    Phone: (801) 816-1010

    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: 2025-12-31

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
I20251231001364INurse PractitionerUTTBD

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 84093)

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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: 4284046335View full group profile
NameSpecialtyState
Physician AssistantUT
Endocrinology, Internal MedicineUT
Physician AssistantUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for FAISA ADEN SMITH (NURSE PRACTITIONER)?
FAISA ADEN SMITH (NURSE PRACTITIONER) — NPI 1295625960 — is the standard way to identify this listing.
Does CMS list FAISA ADEN SMITH (NURSE PRACTITIONER) as active?
Yes — FAISA ADEN SMITH (NURSE PRACTITIONER) is active in the NPI listing used on this page.
What is FAISA ADEN SMITH (NURSE PRACTITIONER)'s specialty?
The listing groups FAISA ADEN SMITH (NURSE PRACTITIONER) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for FAISA ADEN SMITH (NURSE PRACTITIONER)?
FAISA ADEN SMITH (NURSE PRACTITIONER)'s geographic hint is Sandy, Utah in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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