RYLEIGH REBECCA YOUNG SMITH (CPNP) – Pediatric Nurse Practitioner, NPI 1861783946
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RYLEIGH REBECCA YOUNG SMITH (CPNP)
6811 Austin Center Blvd Ste 400
Austin, TX 787313157
Phone: (512) 494-4000
Fax: (512) 494-4024
Type: Location
800 E Dawson St
Tyler, TX 757012036
Phone: (903) 606-4129
Type: Location
6811 AUSTIN CENTER BLVD STE 400
AUSTIN, TX 787313157
Phone: (512) 494-4000
Fax: (512) 494-4024
Type: Mailing
102 HIGHLAND AVE SE STE 104
ROANOKE, VA 240132255
Phone: (540) 985-8147
Type: Location
PO BOX 733784
DALLAS, TX 753733784
Phone: (682) 885-1855
Fax: (682) 885-1396
Type: Mailing
837 S FLEISHEL AVE
TYLER, TX 757012017
Phone: (903) 526-0450
Fax: (903) 526-0435
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: 2012-12-05
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 |
|---|---|---|---|---|
| I20121205000202 | I | Nurse Practitioner | TX | 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 78731)
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