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Deactivated NPI 1669124756 Deactivated / Inactive NPI Female Practitioner

Nicole A Smith , FNP

Nurse Practitioner • Saint Paul, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nicole Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 20, 2022
NPI Deactivation Date September 24, 2022
Total Practice Duration ~1 Years of Practice (2022 – 2022)

Professional Overview & Biography Verified Profile Summary

Nicole Smith, FNP was a registered Nurse Practitioner practicing in Saint Paul, MN. Throughout an active medical career spanning 1 years, Nicole Smith provided care at the practice location at 1804 7TH ST W STE 200 until profile deactivation on 2022-09-24.

Practice Location & Contact Primary Location

Practice Address

1804 7th St W Ste 200

Saint Paul, MN 551162300

Telephone 6512277806
Fax 6512566710
Associated Practice Facility / Clinic
🏢 Abigail Gewirtz Phd, Lp Facility NPI 1629540042

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
171 Specialists

Practicing in Saint Paul, MN (2609 Statewide)

Telehealth Adoption Rate
16.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 9561

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MN 243890-0

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1083694046

Doctor of Medicine (M.D.)

NPI 1104806165

Doctor of Medicine (M.D.)

Emma Helf , CNP, APRN, PNP-PC

Nurse Practitioner - Pediatrics

NPI 1174246599

Certified Nurse Practitioner, Advanced Practice Registered Nurse, PNPPC

NPI 1245210210

Doctor of Medicine (M.D.)

Nadiifa Karie , CPNP

Nurse Practitioner - Pediatrics

NPI 1285424416

Certified Pediatric Nurse Practitioner

Elizabeth Madden , CPNP

Nurse Practitioner - Pediatrics

NPI 1386991339

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 08, 2024

Registered at 1804 7TH ST W STE 200, SAINT PAUL, MN 551162300 (Tel: 6512277806)

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Updated Business Mailing Address October 08, 2024

Registered at 3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 554314442 (Tel: 9525125600)

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Provider Name / Credentials Updated October 08, 2024

Recorded as NICOLE SMITH, FNP

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NPI Profile Reactivated October 05, 2022

Record officially reactivated for active practice on October 05, 2022

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NPI Profile Deactivated September 24, 2022

Record deactivated on September 24, 2022

NPI Profile Active January 20, 2022

NPI status registered as active in NPPES database

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Updated Practice Location January 20, 2022

Registered at 4413 UPTON AVE S UNIT 1, MINNEAPOLIS, MN 554101931 (Tel: 6127351560)

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Updated Business Mailing Address January 20, 2022

Registered at 4413 UPTON AVE S UNIT 1, MINNEAPOLIS, MN 554101931 (Tel: 6127351560)

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Provider Name / Credentials Updated January 20, 2022

Recorded as NICOLE O'DELL, FNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2022

Registered Nurse (License #243890-0 in MN)

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Initial NPI Registration & Enumeration January 20, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669124756
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2022
Last Update: October 08, 2024
Deactivation Date: September 24, 2022
Sole Proprietor: No

Mailing Address

3500 American Blvd W Ste 300

Bloomington, MN 554314442

Phone: 9525125600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.