DESIREE ANN SMITH PMHNP-BC NPI 1982474623

NPI Information

  • NPI: 1982474623
  • Provider Name: DESIREE ANN SMITH, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15954 RIVERSEDGE DR
    HAYWARD, WI
    ZIP 54843
  • Phone: (715) 634-2541

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NPI Details

Desiree Ann Smith, PMHNP-BC is a psychiatric/mental health nurse practitioner in Hayward, WI with 4 years of experience. Desiree Ann Smith, PMHNP-BC NPI is 1982474623. 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:

15954 RIVERSEDGE DR
HAYWARD, WI
ZIP 54843
Phone: (715) 634-2541

The NPI 1982474623 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 enumeration date for this NPI number is 1/4/2024 and was last updated on 1/22/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health16057-33WISCONSINYes

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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