Individual provider Active NPI

Rylee Chantel Smith, APRN, CNP

  • Adult Health Nurse Practitioner
  • Marquette, MI
National Provider Identifier
1902661572
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704421330 Issued in MI
Practice address
1414 W Fair Ave Ste 242
Marquette, MI 49855-5406
Phone
(844) 537-1036
Fax
(833) 626-1945
NPI assigned
Feb 14, 2024
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 907833 MS
Adult Health Nurse Practitioner 363LA2200X 11295 MN
Adult Health Nurse Practitioner 363LA2200X 4704421330 MI Primary
Gerontology Nurse Practitioner 363LG0600X 11295 MN

Addresses

Primary practice location

1414 W Fair Ave Ste 242
Marquette, MI 49855-5406

Mailing address

130 30TH Ave SW
Montevideo, MN 56265-3036
Phone (320) 841-1396

Other names 1

  • Rylee Chantel Schultz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240326000731 MN Practitioner - Nurse Practitioner 7719324730 Reassigns benefits to 1 organization
I20250331002722 MI Practitioner - Nurse Practitioner 7719324730 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704421330MIMDAdult Health Nurse Practitioner
907833MSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homeward Physicians , PLLC CurrentSince Feb 12, 2024 Accepting new patients

Locations

1414 W Fair Ave
Ste 242
Marquette, MI 49855
Phone (844) 537-1036

825 Nicollet Mall
Ste 556
Minneapolis, MN 55402
Phone (612) 513-3433

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26566/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rylee.smith.1@26566.direct.athenahealth.com
  • Direct secure messaging: rylee.smith.2@26566.direct.athenahealth.com

Organizations & group practices 1

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1902661572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 30TH AVE SW",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562653036",
            "telephone_number": "320-841-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 242",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555406",
            "telephone_number": "844-537-1036",
            "fax_number": "833-626-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYLEE",
        "middle_name": "CHANTEL",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "907833",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "11295",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704421330",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "11295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYLEE",
            "last_name": "SCHULTZ",
            "middle_name": "CHANTEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.