Mrs Cynthia Susan Smith, CNP, ACNP in Crystal Lake, IL

Mrs Cynthia Susan Smith, CNP, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Crystal Lake, Illinois. Her current practice location is 1095 Pingree Rd, Suite 108, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 459-6655.

Mrs Cynthia Susan Smith is licensed to practice in Illinois (license number 209-001572) 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 1134149115.

Contact Information

	Mrs Cynthia Susan Smith, CNP, ACNP
	1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
	(815) 459-6655
	(847) 658-9922

Map and Direction

Provider's Profile

Full Name	Mrs Cynthia Susan Smith
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1095 Pingree Rd, Crystal Lake, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134149115
Provider Enumeration Date: 07/20/2006
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 0648175877
Enrollment ID: I20031202000052

Medical Identifiers

Medical identifiers for Mrs Cynthia Susan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134149115	NPI	-	NPPES
309-001579	Other	IL	IL SUBSCRIBER
041-291329	Other	IL	IL REGISTERED NURSE
209-001572	Other	IL	ADVANCED PRACTICE NURSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	209-001572 (Illinois)	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 Cynthia Susan Smith allows following entities to bill medicare on her behalf.

Entity Name	North Shore Primary Care S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659563831 PECOS PAC ID: 6204925415 Enrollment ID: O20071211000064

Entity Name	Rockford Emergency Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639876634 PECOS PAC ID: 4385007640 Enrollment ID: O20230905000499

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 Cynthia Susan 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 Address	Practice Location Address
Mrs Cynthia Susan Smith, CNP, ACNP 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 Ph: (815) 459-6655	Mrs Cynthia Susan Smith, CNP, ACNP 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 Ph: (815) 459-6655

Reviews and Comments

Nurse Practitioner Nurses in Crystal Lake, IL

Sandra Jaeschke, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-455-8044
Mrs. Jenna T Winsko, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Suite 120, Crystal Lake, IL 60014 Phone: 815-477-8900 Fax: 815-477-7160
Mrs. Shannon Harrison Malone, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 442 N Illinois Rte 31, Crystal Lake, IL 60012 Phone: 224-238-3211
Katherine A Galias, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014 Phone: 815-459-6655 Fax: 847-658-9922
Angelica Soto, MSN,APRN,PMHNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 145 S Virginia St, Crystal Lake, IL 60014 Phone: 815-444-9999
Ashley Wallen, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Northwest Hwy, Crystal Lake, IL 60014 Phone: 866-825-3227
Sheila Roxanne Soriano Reyes, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln Ste 290, Crystal Lake, IL 60014 Phone: 708-434-4090

Mrs Cynthia Susan Smith, CNP, ACNP - Medicare Nurse Practitioner in Crystal Lake, IL