SAMANTHA SMART (FNP) – Family Nurse Practitioner, NPI 1053869271
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
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Provider Addresses for SAMANTHA SMART (FNP)
4910, Valley View Boulevard North, Fairland, Roanoke, Salem (city), Virginia, 24012, United States
ROANOKE, VA 240122040
Phone: (540) 265-1607
Fax: (540) 366-7353
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)
CMS reports 229 Open Payments records for all available years, with a total value of $4,058.
Total Amount is formed as General ($4,058) + Research ($0) + Ownership ($0) = $4,058.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Novo Nordisk Inc ($928).
Total Amount
$4,058
General + Research + Ownership
Payments
229
Total payment records
General Amount
$4,058
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $928 |
| ABBVIE INC. | $492 |
| Lilly USA, LLC | $404 |
| Otsuka America Pharmaceutical, Inc. | $333 |
| AstraZeneca Pharmaceuticals LP | $177 |
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: 2017-03-07
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 |
|---|---|---|---|---|
| I20170307002192 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 214 | 119 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 112 | 67 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 111 | 111 | $0 |
| G0008 | Administration of influenza virus vaccine | 40 | 39 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 38 | 37 | $0 |
Insurance plans in this area (ZIP 24012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| P S Y C H I A T R Y | VA | |
| Physician Assistant | TN | |
| Physician Assistant | VA | |
| - | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Family Practice | TN | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | OH | |
| Family Practice | MN |
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