Sergey Smirnov, NP - Medicare Nurse Practitioner in St Johns, FL

  1. Home
  2. Nurse Practitioner
  3. FL
  4. St Johns
Sergey Smirnov, NP is a medicare enrolled "Nurse Practitioner - Family" in St Johns, Florida. His current practice location is 255 Rivertown Shops Dr Ste 102-161, St Johns, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 377-3154.

Sergey Smirnov is licensed to practice in Florida (license number APRN11005649) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699318295.

Contact Information

Sergey Smirnov, NP
255 Rivertown Shops Dr Ste 102-161,
St Johns, FL 32259-7506
(904) 377-3154
Not Available

Map and Direction




Provider's Profile

Full NameSergey Smirnov
GenderMale
SpecialityNurse Practitioner - Family
Location255 Rivertown Shops Dr Ste 102-161, St Johns, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699318295
  • Provider Enumeration Date: 10/26/2019
  • Last Update Date: 01/31/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375085038
  • Enrollment ID: I20240610001075

Medical Identifiers

Medical identifiers for Sergey Smirnov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699318295NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 345197 (New York)Secondary
363LF0000XNurse Practitioner - Family APRN11005649 (Florida)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. Sergey Smirnov allows following entities to bill medicare on his behalf.
Entity NameCogent Healthcare Of Jacksonville, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124252333
PECOS PAC ID: 1759435944
Enrollment ID: O20090824000043
Entity NameParagon Wound Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568296689
PECOS PAC ID: 3375074834
Enrollment ID: O20241008002450
Entity NameSound Physicians Of Florida Vi Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417761073
PECOS PAC ID: 1759802333
Enrollment ID: O20250312000369

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. Sergey Smirnov 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
Sergey Smirnov, NP
6629 Broadway Apt 5c,
Bronx, NY 10471-2040

Ph: (646) 552-6494		Sergey Smirnov, NP
255 Rivertown Shops Dr Ste 102-161,
St Johns, FL 32259-7506

Ph: (904) 377-3154

Reviews and Comments


Nurse Practitioner Nurses in St Johns, FL

Denise Pollock, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1029 Buttercup Dr, St Johns, FL 32259
Phone: 540-793-1563    
Urdif T Encarnacion,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 432 Chandler Dr, St Johns, FL 32259
Phone: 786-612-1213    Fax: 786-612-1213
Rhianna Fagan, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259
Phone: 904-652-0800    
Snehalben Patel,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 211 N Arabella Way, St Johns, FL 32259
Phone: 904-718-4668    
Dana M Hatwig, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 450 State Road 13 Ste 106-493, St Johns, FL 32259
Phone: 904-517-8900    
Korinne Reilly, MSN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 109 Charmed Pl, St Johns, FL 32259
Phone: 360-672-6032    
Micaela Harrison, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3055 County Road 210 W Ste 105, St Johns, FL 32259
Phone: 904-223-9100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.