Nakissia S Smith, PNP is a
Nurse Practitioner - Pediatrics physician based in Minneapolis, Minnesota. Nakissia S Smith is licensed to practice in Minnesota (license number 9208) and her current practice location is 2525 Chicago Ave, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 220-6750.
NPI number for Nakissia S Smith is 1215664008 and her current mailing address is 2525 Chicago Ave, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215664008.
Physician's Profile
Full Name | Nakissia S Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 2525 Chicago Ave, Minneapolis, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215664008
- Provider Enumeration Date: 08/02/2022
- Last Update Date: 09/28/2022
Medical Identifiers
Medical identifiers for Nakissia S Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215664008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 9208 (Minnesota) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 9208 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nakissia S Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nakissia S Smith, PNP 2525 Chicago Ave, Minneapolis, MN 55404-4518 Ph: (651) 220-6750 | Nakissia S Smith, PNP 2525 Chicago Ave, Minneapolis, MN 55404-4518 Ph: (651) 220-6750 |
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