LEE JOSEPH SMITH – Family Nurse Practitioner, NPI 1033700257

LEE JOSEPH SMITH is a healthcare provider. based in Clear lake, Wisconsin. specializing in NURSE PRACTITIONER. They hold a License No. 7992 (MN). The NPI Number for LEE JOSEPH SMITH is 1033700257

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
LEE JOSEPH SMITH
NPI
1033700257
Phone
(715) 268-8000
Address
357 Third Ave
Enumeration Date
30 January 2021
Last Update Date
11 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7152688000
Graduation Year
2020 (6 years ago)
PAC ID
5395143622
Group Practice PAC ID
2769391960
Professional Enrollment ID
I20211112001097
Address ID
WI540011439AM265XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for LEE JOSEPH SMITH

  • 357 Third Ave

    Clear Lake, WI 540050177

    Phone: (715) 268-8000

    Type: Location

  • 550 Martin Ave W

    Turtle Lake, WI 548899069

    Phone: (715) 986-4101

    Type: Location

  • 265 GRIFFIN ST E

    AMERY, WI 540011439

    Phone: (715) 268-8000

    Type: Mailing

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: 2021-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20211018000892INurse PractitionerWITBD
I20211112001097INurse PractitionerMNTBD

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 54005)

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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: 2769391960View full group profile
NameSpecialtyState
Physician AssistantWI
-WI
Internal Medicine, Pediatric MedicineMN
Family PracticeWI
O T O L A R Y N G O L O G YMN
Internal Medicine, Cardiovascular Disease (Cardiology)MN
Family PracticeWI
Family PracticeCA
Family PracticeIL
Family PracticeWI

Reviews

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Frequently asked questions

How is LEE JOSEPH SMITH identified in CMS data?
CMS-hosted NPPES data lists LEE JOSEPH SMITH with NPI 1033700257.
Does the file indicate LEE JOSEPH SMITH is practicing under active NPI?
Directory data currently reports LEE JOSEPH SMITH as active.
What is LEE JOSEPH SMITH best known for clinically?
Directory data describes LEE JOSEPH SMITH with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does LEE JOSEPH SMITH serve?
LEE JOSEPH SMITH's listing highlights Clear Lake, Wisconsin; more addresses can appear in NPPES.
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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