Stacey Michelle Smetzer, CNP
Nurse Practitioner, Family in Columbus, OH. Individual provider (NPI-1).
NPI number1124333083
StatusActive
Last updated in NPPESJul 17, 2013
Details
- NPI
- 1124333083
- Entity type
- Individual (NPI-1)
- Name
- Stacey Michelle Smetzer
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2010
- Last updated
- Jul 17, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | COA.11641-NP | OH | Yes |
| 163W00000X | Registered Nurse | RN.334240-COA1 | OH |
Practice location
700 Children'S DriveColumbus, OH 43205-2696
Phone 614-722-2350 · Fax 614-722-2350
Mailing address
700 Children'S DriveColumbus, OH 43205-2696
Phone 614-722-2350 · Fax 614-722-2332
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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