MARISA SMITT CNP NPI 1689058463

NPI Information

  • NPI: 1689058463
  • Provider Name: MARISA SMITT, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 29275 NORTHWESTERN HWY STE 100
    SOUTHFIELD, MI
    ZIP 48034
  • Phone: (248) 784-3667

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NPI Details

Marisa Smitt, CNP is a family nurse practitioner in Southfield, MI with 11 years of experience. Marisa Smitt, CNP NPI is 1689058463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

29275 NORTHWESTERN HWY STE 100
SOUTHFIELD, MI
ZIP 48034-700
Phone: (248) 784-3667
Fax: (248) 869-3982

The NPI 1689058463 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 7/12/2015 and was last updated on 5/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner4704283890MICHIGANNo
2363LF0000XNurse PractitionerFamily17658OHIONo
3363LF0000XNurse PractitionerFamily4704283890MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10140037MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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