MACKENZIE MAE SMITH – Nurse Practitioner, NPI 1306515804
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for MACKENZIE MAE SMITH
409 HURON ST
MANITOWOC, WI 542202932
Phone: (920) 905-1236
Type: Mailing
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI 530813174
Phone: (833) 821-7246
Type: Location
1414 N TAYLOR DR STE 100
SHEBOYGAN, WI 530813090
Phone: (920) 458-9800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $1,373.
Total Amount is formed as General ($1,373) + Research ($0) + Ownership ($0) = $1,373.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($271).
Total Amount
$1,373
General + Research + Ownership
Payments
64
Total payment records
General Amount
$1,373
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-02-07
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 |
|---|---|---|---|---|
| I20220207000048 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 63 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 44 | 41 | $0 |
Insurance plans in this area (ZIP 54220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Pain Management, Anesthesiology | IL | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| Pain Management, Anesthesiology | WI | |
| Physician Assistant | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Physician Assistant | CA | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI |
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