Mrs Chelsea Nichole Smith, MSN-CNM - Medicare Advanced Practice Midwife in Williston, ND

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.

Contact Information

Mrs Chelsea Nichole Smith, MSN-CNM
15089 53s Way Nw,
Williston, ND 58801-9365
(019) 894-0847
(701) 425-0335



Provider's Profile

Full NameMrs Chelsea Nichole Smith
GenderFemale
SpecialityAdvanced Practice Midwife
Location15089 53s Way Nw, Williston, North Dakota
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1396394904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife NUR-APRN-LIC-179181 (Montana)Secondary
367A00000XAdvanced 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 NameMercy Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801928593
PECOS PAC ID: 7416851381
Enrollment ID: O20031230000336

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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 AddressPractice 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

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Advanced Practice Midwife Nurses in Williston, ND

Ms. Kerry Raghib, CNM, MSN
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1700 11th St W, Williston, ND 58801
Phone: 701-774-7687    Fax: 701-572-1695

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