Nurse Practitioner, Pediatrics
MARYELLEN SMITH CPNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1225004377 · enumerated 2006-02-28 · record updated 2011-09-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1900 CENTRACARE CIR #1300, CENTRACARE CLINIC - WOMEN'S AND CHILDRENS, ST CLOUD, MN, 56303-5000 (320) 654-3610 Fax (952) 883-5395 Google Maps Apple Maps OpenStreetMap
- Practice location 1900 CENTRACARE CIR #1300, CENTRACARE CLINIC - WOMEN'S AND CHILDRENS, ST CLOUD, MN, 56303-5000 (320) 654-3610 Fax (651) 702-5305 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · License 0735016 MN
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License R073501-6 MN
In this directory
Locations and evidence
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Practice location
ST CLOUD, MN, 563035000
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.