Individual provider Active NPI

Markecia Smith, FNP-C

  • Family Nurse Practitioner
  • Mount Pleasant, WI
National Provider Identifier
1285310136
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05230333 Issued in WI
Practice address
5439 Durand Ave
Mount Pleasant, WI 53406-5058
Phone
(262) 898-9000
Fax
(262) 898-3030
NPI assigned
Jun 26, 2023
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05230333 WI Primary

Addresses

Primary practice location

5439 Durand Ave
Mount Pleasant, WI 53406-5058

Mailing address

5439 Durand Ave
Mount Pleasant, WI 53406-5058
Phone (262) 898-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123003062 WI Practitioner - Nurse Practitioner 3274985494 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BSH, SCGroup PAC ID 4082996954, 9 clinicians

Practice addresses (Care Compare)

5439 Durand Ave
Suite 100
Mount Pleasant, WI 53406-5058
Phone (262) 898-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05230333WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BSH, SC CurrentSince Apr 18, 2025 Accepting new patients
Maple Medical SC CurrentSince Feb 1, 2024 Accepting new patients
Acs Wounds LLC CurrentSince Apr 18, 2025 Accepting new patients
Oak Medical SC CurrentSince Feb 1, 2024 Accepting new patients

Locations

5439 Durand Ave
Ste 100
Mount Pleasant, WI 53406
Phone (262) 898-9000

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1285310136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 DURAND AVE",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534065058",
            "telephone_number": "262-898-9000",
            "fax_number": "262-898-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 DURAND AVE",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534065058",
            "telephone_number": "262-898-9000",
            "fax_number": "262-898-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARKECIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "F05230333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.