Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225004377 Individual Practitioner Female Practitioner

Maryellen T Smith , CPNP

Nurse Practitioner - Pediatrics • St Cloud, MN

Professional Overview & Biography Verified Profile Summary

Maryellen Smith, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in St Cloud, MN. Practice services are available at 1900 CENTRACARE CIR #1300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 Centracare Cir #1300
Centracare Clinic - Women's And Childrens

St Cloud, MN 563035000

Telephone 3206543610
Fax 6517025305

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in St Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in St Cloud, MN (480 Statewide)

Telehealth Adoption Rate
0.0% 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

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MN R073501-6

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MN 0735016

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
071742800 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003293325

Doctor of Medicine (M.D.)

Maria Pederson , CNM

Advanced Practice Midwife

NPI 1003888025

Certified Nurse Midwife

Dr. Dale Meyer , MD

Internal Medicine

NPI 1023089430

Doctor of Medicine (M.D.)

NPI 1063866762

Doctor of Osteopathic Medicine (D.O.)

NPI 1083889414

Doctor of Medicine (M.D.)

NPI 1093787103

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2011

Registered at 1900 CENTRACARE CIR #1300, CENTRACARE CLINIC - WOMEN'S AND CHILDRENS, ST CLOUD, MN 563035000 (Tel: 3206543610)

📍
Updated Business Mailing Address September 07, 2011

Registered at 1900 CENTRACARE CIR #1300, CENTRACARE CLINIC - WOMEN'S AND CHILDRENS, ST CLOUD, MN 563035000 (Tel: 3206543610)

👤
Provider Name / Credentials Updated September 07, 2011

Recorded as MARYELLEN SMITH, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2011

Nurse Practitioner (License #0735016 in MN)

🟢
Initial NPI Registration & Enumeration February 28, 2006

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: 1225004377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2006
Last Update: September 07, 2011
Sole Proprietor: No

Mailing Address

1900 Centracare Cir #1300, Centracare Clinic - Women's And Childrens

St Cloud, MN 563035000

Phone: 3206543610

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.