MICHAYLA DESIREE SMITH (FNP-BC) – Family Nurse Practitioner, NPI 1265120521

MICHAYLA DESIREE SMITH (FNP-BC) is a healthcare provider. based in Suffolk, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 314456 (NC). The NPI Number for MICHAYLA DESIREE SMITH (FNP-BC) is 1265120521

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MICHAYLA DESIREE SMITH (FNP-BC)
NPI
1265120521
Phone
Not provided
Address
2800 GODWIN BLVD
Enumeration Date
25 April 2023
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7579344222
Graduation Year
2023 (3 years ago)
PAC ID
6507213097
Group Practice PAC ID
8921903923
Professional Enrollment ID
I20231106000080
Address ID
VA234348158SU2790XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:3State licenses:2Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for MICHAYLA DESIREE SMITH (FNP-BC)

  • 2800 GODWIN BLVD

    SUFFOLK, VA 234348038

    Phone:

    Type: Mailing

  • 2790 GODWIN BLVD STE 305

    SUFFOLK, VA 234348158

    Phone: (757) 934-4222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Medtronic, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$17
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: 2023-11-06

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
I20231106000080INurse PractitionerVATBD

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 23434)

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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: 8921903923View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineVA
Nurse PractitionerVA
-MI
-VA
-VA
Pulmonary Disease, Internal MedicineGA
N E U R O L O G YVA
Physician AssistantVA
-VA
Family PracticeVA

Reviews

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Frequently asked questions

Is there an official ID for MICHAYLA DESIREE SMITH (FNP-BC) in U.S. healthcare records?
The official identifier for MICHAYLA DESIREE SMITH (FNP-BC) is NPI 1265120521.
Would MICHAYLA DESIREE SMITH (FNP-BC) appear as active to a payer?
You can treat MICHAYLA DESIREE SMITH (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MICHAYLA DESIREE SMITH (FNP-BC)?
MICHAYLA DESIREE SMITH (FNP-BC)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAYLA DESIREE SMITH (FNP-BC)?
Travel planning: use Suffolk, Virginia as the reference point for MICHAYLA DESIREE SMITH (FNP-BC), then confirm.
When was this NPI issued?
Enumeration for MICHAYLA DESIREE SMITH (FNP-BC) is noted as April 25, 2023 where the registry provides it.

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