Active NPI
Abigail Smith, DPM
- Primary Podiatric Medicine Podiatrist
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 1082
- Practice address
- 7600 France Ave S Ste 1100
Edina, MN 55435-5936 - Phone
- (888) 964-6681
- Fax
- (888) 662-0859
- NPI assigned
- May 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 1082 | MN | Primary |
Addresses
Primary practice location
7600 France Ave S Ste 1100
Edina, MN 55435-5936
Mailing address
100 Crossing Blvd Ste 300
Framingham, MA 01702-5555
Phone (888) 964-6681
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13663853715 | Medicaid | MO | |
| 1366853715 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MO, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
649 /2 State St NW
Evansville, MN 56326-8124
Phone (218) 948-2040
712 S Cascade St
Fergus Falls, MN 56537-2913
Phone (218) 736-8000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 129 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 395 |
| Removal or shaving of skin growth | 86 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1082 | MN | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lafayette Podiatry Associates, P.C. | Primary Podiatric Medicine | Current | Accepting new patients |
Locations
415 N 26th St
Ste 305
Lafayette, IN 47904
Phone (765) 449-4758
2020 Union St
Ste 100
Lafayette, IN 47904
Phone (765) 447-7644
1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300
649 State St NW
Evansville, MN 56326
Phone (218) 948-2040
712 S Cascade St
Fergus Falls, MN 56537
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Lake Region Healthcare
- Critical Access Hospital
- Elbow Lake, MN
- NPI 1407838329
-
- Foot & Ankle Surgery Podiatrist
- Lafayette, IN
- NPI 1427193796
Primary Podiatric Medicine
-
dba Community Foot Clinic
- Foot & Ankle Surgery Podiatrist
- Albert Lea, MN
- NPI 1215149364
-
- Podiatrist
- Poplar Bluff, MO
- NPI 1508838566
-
- General Acute Care Hospital
- Fergus Falls, MN
- NPI 1093713372
-
- Chiropractor
- Fergus Falls, MN
- NPI 1265148480
-
dba Lake Region Healthcare
- Critical Access Hospital
- Fergus Falls, MN
- NPI 1285525436
-
dba Lake Region Healthcare
- Durable Medical Equipment & Medical Supplies
- Fergus Falls, MN
- NPI 1942191119
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lake Region Healthcare
- Critical Access Hospital
- Fergus Falls, MN
- NPI 1285525436
-
dba Lake Region Healthcare
- Critical Access Hospital
- Elbow Lake, MN
- NPI 1407838329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1366853715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CROSSING BLVD STE 300",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017025555",
"telephone_number": "888-964-6681",
"fax_number": "888-662-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 FRANCE AVE S STE 1100",
"city": "EDINA",
"state": "MN",
"postal_code": "554355936",
"telephone_number": "888-964-6681",
"fax_number": "888-662-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ABIGAIL",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2024-04-10",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "MN",
"license": "1082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13663853715",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366853715",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.