ELISA BROOKE SMITH – Family Nurse Practitioner, NPI 1306196472
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for ELISA BROOKE SMITH
25892 N JAMES MADISON HIGHWAY
NEW CANTON, VA 231230220
Phone: (434) 581-3271
Fax: (434) 581-1105
Type: Mailing
6100 HARBOURSIDE CENTRE LOOP
MIDLOTHIAN, VA 231122170
Phone: (804) 639-7555
Type: Location
102 BROADDUS AVENUE
SUITE 200
BOWLING GREEN, VA 224279404
Phone: (804) 632-1030
Fax: (804) 632-1033
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: 2013-06-13
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 |
|---|---|---|---|---|
| I20130613000350 | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 500 | 48 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 241 | 241 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 228 | 199 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 108 | 53 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 69 | 67 | $0 |
Insurance plans in this area (ZIP 23123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | VA | |
| Emergency Medicine | VA | |
| Nurse Practitioner | GA | |
| Emergency Medicine | NC | |
| - | TN | |
| Emergency Medicine | NC | |
| Physician Assistant | GA | |
| Internal Medicine | VA | |
| Nurse Practitioner | VA |
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