ANGELA ELAINE SMITH (PNP) – Pediatric Gastroenterology Physician, NPI 1821264565
Pediatric Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ANGELA ELAINE SMITH (PNP)
10140, Centurion Parkway North, Deerwood Park, Jacksonville, Duval County, Florida, 32256, United States
JACKSONVILLE, FL 322560532
Phone: (904) 697-4100
Fax: (904) 697-5102
Type: Mailing
North Davis Highway, Ferry Pass, Pensacola, Escambia County, Florida, 32504, United States
PENSACOLA, FL 325146094
Phone: (850) 505-4700
Fax: (850) 505-4711
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $621.
Total Amount is formed as General ($621) + Research ($0) + Ownership ($0) = $621.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($305).
Total Amount
$621
General + Research + Ownership
Payments
17
Total payment records
General Amount
$621
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $305 |
| GENZYME CORPORATION | $110 |
| COLOPLAST CORP | $105 |
| Exact Sciences Corporation | $39 |
| IRONWOOD PHARMACEUTICALS, INC | $39 |
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: 2018-02-13
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 |
|---|---|---|---|---|
| I20180213002574 | I | Nurse Practitioner | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32256)
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