Millissa K Smith, FNP-C - Medicare Nurse Practitioner in Glendale, AZ

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Millissa K Smith, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Glendale, Arizona. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Cancer Center Specialists Llc and her current practice location is 5555 W Thunderbird Rd, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 865-5445.

Millissa K Smith is licensed to practice in Arizona (license number 235926) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396384715.

Contact Information

Millissa K Smith, FNP-C
5555 W Thunderbird Rd,
Glendale, AZ 85306-4622
(602) 865-5445
Not Available

Map and Direction




Provider's Profile

Full NameMillissa K Smith
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location5555 W Thunderbird Rd, Glendale, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Millissa K Smith graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1396384715
  • Provider Enumeration Date: 01/02/2020
  • Last Update Date: 09/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163842097
  • Enrollment ID: I20201015000745

Medical Identifiers

Medical identifiers for Millissa K Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396384715NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 235926 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Thunderbird Medical CenterGlendale, AZHospital
Banner Boswell Medical CenterSun city, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Cancer Center Specialists Llc6103097779261

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. Millissa K Smith allows following entities to bill medicare on her behalf.
Entity NameBanner Cancer Center Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518253152
PECOS PAC ID: 6103097779
Enrollment ID: O20110913000224
Entity NameBanner Urgent Care Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316349855
PECOS PAC ID: 3678749496
Enrollment ID: O20111228000784
Entity NameBanner Urgent Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609229764
PECOS PAC ID: 4284921610
Enrollment ID: O20160928001188
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190524002171
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210305000869

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. Millissa K 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 AddressPractice Location Address
Millissa K Smith, FNP-C
5555 W Thunderbird Rd,
Glendale, AZ 85306-4622

Ph: (602) 865-5445		Millissa K Smith, FNP-C
5555 W Thunderbird Rd,
Glendale, AZ 85306-4622

Ph: (602) 865-5445

Reviews and Comments


Nurse Practitioner Nurses in Glendale, AZ

Mrs. Melanie Ann Nugent, CPNP
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Medicare: Medicare Enrolled
Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306
Phone: 602-865-4442    Fax: 602-865-4507
Kaitlin Spivey, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308
Phone: 623-248-2100    
Ruth E Sanders, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 5041 N 86th Dr, Glendale, AZ 85305
Phone: 866-389-2727    Fax: 612-659-7101
Kelly Lynn Rauch, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 7330 N 99th Ave Ste 325, Glendale, AZ 85307
Phone: 623-882-1292    Fax: 623-882-8184
Emma Louise Keltgen, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303
Phone: 602-243-7277    Fax: 602-286-0808
Joyce Kim, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302
Phone: 602-773-5546    
Anthony James Shaw, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303
Phone: 602-568-8381    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.