Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Smith

Individual provider Family Nurse Practitioner · NPI 1720434046

Andrea Smith is a Nurse Practitioner in Wapakoneta, Ohio. Qualified in 2016, 10 years ago. Practices with Lima Memorial Professional Corporation, a 169-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
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Practice location Address checks out

602 W Redskin Trl
Wapakoneta, OH 45895-9349
Phone: (419) 738-5151
Fax: (419) 941-1092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21 E State St Ofc 233, Columbus, OH 43215-4281 — (888) 731-8994

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.019808 (OH)

Record details

NPI number1720434046
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESOctober 4, 2025
Certification dateOctober 4, 2025
Mailing address1001 Bellefontaine Ave, Lima, OH 45804-2800

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lima Memorial Professional Corporation — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wapakoneta