Ms Mimi Sue Smith-danielson, ARNP - Medicare Nurse Practitioner in Kingston, WA

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Ms Mimi Sue Smith-danielson, ARNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Kingston, Washington. Her current practice location is 26788 Highland Rd Ne, Kingston, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 297-8876.

Ms Mimi Sue Smith-danielson is licensed to practice in Washington (license number AP30001519) 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 1174533202.

Contact Information

Ms Mimi Sue Smith-danielson, ARNP
26788 Highland Rd Ne,
Kingston, WA 98346
(360) 297-8876
(360) 297-0777

Map and Direction




Provider's Profile

Full NameMs Mimi Sue Smith-danielson
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location26788 Highland Rd Ne, Kingston, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174533202
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7315978921
  • Enrollment ID: I20050823001196

Medical Identifiers

Medical identifiers for Ms Mimi Sue Smith-danielson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174533202NPI-NPPES
2813SMOtherREGENCE
9633819MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN00039969 (Washington)Primary
363LG0600XNurse Practitioner - Gerontology AP30001519 (Washington)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. Ms Mimi Sue Smith-danielson allows following entities to bill medicare on her behalf.
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789

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. Ms Mimi Sue Smith-danielson 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
Ms Mimi Sue Smith-danielson, ARNP
26788 Highland Rd Ne,
Kingston, WA 98346

Ph: (360) 297-8876		Ms Mimi Sue Smith-danielson, ARNP
26788 Highland Rd Ne,
Kingston, WA 98346

Ph: (360) 297-8876

Reviews and Comments


Nurse Practitioner Nurses in Kingston, WA

Diana Lynn Allen, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 30799 Ludlow Dr Ne, Kingston, WA 98346
Phone: 360-908-5843    
Dr. Mari Catherine Sullivan, DNP, MSN, ARNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Port Gamble S'klallam Tribe Community Health, 32020 Little Boston Rd Ne, Kingston, WA 98346
Phone: 360-297-2840    Fax: 360-925-3897

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.