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

Mr. Benjamin A Smith

Individual provider Registered Nurse · NPI 1205461522

Mr. Benjamin A Smith is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2020, 6 years ago. Practices with Fedko Emergency Physicians New Mexico, LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

100 Washington Ave S Ste 900
Minneapolis, MN 55401-2511
Phone: (866) 492-5336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP61054509 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60575277 (WA)

Record details

NPI number1205461522
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 6, 2020
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020
Mailing address1724 Pointe Woodworth Dr Ne, Tacoma, WA 98422-3480

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fedko Emergency Physicians New Mexico, Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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