ELLEN SMITH – Pediatrics Physician, NPI 1386079804

ELLEN SMITH is a healthcare provider. based in Seneca, Pennsylvania. specializing in Pediatrics Physician. They hold a License No. MD447921 (PA). The NPI Number for ELLEN SMITH is 1386079804

Main info

Female
Name
ELLEN SMITH
NPI
1386079804
Phone
(814) 676-7863
Address
100 FAIRFIELD DR
Enumeration Date
4 September 2013
Last Update Date
24 May 2021

Contacts

Secure Messaging
upmchospitals@upmcdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

Provider Addresses for ELLEN SMITH

  • 100 FAIRFIELD DR

    SENECA, PA 163462130

    Phone: (814) 676-7863

    Mailing address matches the actual address.

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: 2020-08-04

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
I20200804003502IPediatric MedicinePATBD

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 16346)

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Reviews

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Frequently asked questions

How is ELLEN SMITH identified in CMS data?
CMS-hosted NPPES data lists ELLEN SMITH with NPI 1386079804.
Can I rely on ELLEN SMITH being an active provider?
As of the registry snapshot, ELLEN SMITH is marked active.
What taxonomy line describes ELLEN SMITH?
For research purposes, treat ELLEN SMITH as Pediatrics Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ELLEN SMITH on a map?
Expect Seneca, Pennsylvania as a primary anchor for ELLEN SMITH unless the record lists multiple sites.
Is the information about ELLEN SMITH up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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