Mrs Chelsea Nichole Smith, MSN-CNM is a medicare enrolled "Advanced Practice Midwife" in Williston, North Dakota. Her current practice location is
15089 53s Way Nw, Williston, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(019) 894-0847.
Mrs Chelsea Nichole Smith is licensed to practice in North Dakota (license number R38310) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396394904.
Provider's Profile
| Full Name | Mrs Chelsea Nichole Smith |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 15089 53s Way Nw, Williston, North Dakota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1396394904
- Provider Enumeration Date: 09/06/2019
- Last Update Date: 03/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921432907
- Enrollment ID: I20191227001731
Medical Identifiers
Medical identifiers for Mrs Chelsea Nichole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396394904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | NUR-APRN-LIC-179181 (Montana) | Secondary |
| 367A00000X | Advanced Practice Midwife | R38310 (North Dakota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Chelsea Nichole Smith allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1801928593
PECOS PAC ID: 7416851381
Enrollment ID: O20031230000336 |
|---|
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. Mrs Chelsea Nichole Smith is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Chelsea Nichole Smith, MSN-CNM
15089 53s Way Nw,
Williston, ND 58801-9365
Ph: (701) 989-4084 | Mrs Chelsea Nichole Smith, MSN-CNM
15089 53s Way Nw,
Williston, ND 58801-9365
Ph: (019) 894-0847 |
Reviews and Comments