2026 NPPES data Primary Care Nurse Practitioner NPI 1013319367
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SANDRA SMITH

Primary Care Nurse Practitioner in MADISON, Indiana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
29
Medicare Part D claims · 12 beneficiaries · Primary Care Nurse Practitioner avg: 1K
What the federal data reveals: SANDRA SMITH is a Primary Care Nurse Practitioner ([object Object]) practicing in MADISON, Indiana with a Medicare Part D prescribing footprint of 29 claims across 12 beneficiaries .

What stands out: SANDRA SMITH filed 29 Medicare Part D claims in 2023 across MADISON, Indiana. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

SANDRA SMITH at a glance

Quality data not reported

NPI registry status

Active

Issued 09/18/2014

NPI 1013319367

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

29 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

Specialty distribution in Indiana

How Primary Care Nurse Practitioner compares to other specialties among Indiana providers

Indiana providers

Primary Care Nurse Practitioner share within Indiana

1. Primary Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Primary Care Nurse Practitioner share within Indiana

Specialty board-certification context

Estimated specialty board-certified rate — Primary Care Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Primary Care Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Primary Care Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Primary Care Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SANDRA SMITH is a Primary Care Nurse Practitioner provider practicing in MADISON, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1013319367. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SANDRA SMITH appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider at 220 CLIFTY DR STE J, MADISON, IN, 47250, with a listed phone of (812) 274-0713. NPI 1013319367 was issued on 09/18/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMITH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 29 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $4K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

220 CLIFTY DR STE J
MADISON, IN 47250

Provider Details

NPI 1013319367
Specialty Primary Care Nurse Practitioner
Gender Female
NPI Issued 09/18/2014

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

29
Total Claims
$4K
Total Drug Cost
12
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
51
Total Day Supply
1,234
Generic Drug Cost
$504

Patient Demographics

Average Patient Age
68.6 years
Avg HCC Risk Score
0.72

Primary Care Nurse Practitioner Overview

How SANDRA SMITH fits within the Primary Care Nurse Practitioner landscape nationally.

10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

SANDRA SMITH's 29 claims are below the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in Indiana

Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as SMITH.

Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANDRA SMITH's specialty?
SANDRA SMITH specializes in Primary Care Nurse Practitioner and practices in MADISON, Indiana.
How much does SANDRA SMITH prescribe under Medicare Part D?
In 2023, SANDRA SMITH wrote 29 Medicare Part D claims totaling $4K in drug costs for 12 beneficiaries.
Where is SANDRA SMITH located?
SANDRA SMITH is located at 220 CLIFTY DR STE J, MADISON, IN, 47250. Phone: (812) 274-0713.
What is SANDRA SMITH's NPI number?
SANDRA SMITH's National Provider Identifier (NPI) is 1013319367, issued on 09/18/2014.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
Does SANDRA SMITH accept Medicare?
SANDRA SMITH appears in CMS Medicare data with 29 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANDRA SMITH's credentials?
SANDRA SMITH's NPI is 1013319367. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology