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

Vincella Smith, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1922716729

Vincella Smith, NURSEPRACTITIONER is a Nurse Practitioner in Euclid, Ohio. Qualified in 2022, 4 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Georgia, Ohio and South Carolina.

Years since qualifying
4
Licensed in
GA, OH, SC
In the registry since
2022
Specialties on file
3

Practice location Address checks out

21877 Euclid Ave
Euclid, OH 44117-1515
Phone: (216) 633-6104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN240873 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 30852 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence RN.411942 (OH)

Record details

NPI number1922716729
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedNovember 10, 2022
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing address21877 Euclid Ave, Euclid, OH 44117-1515

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

Other providers in Euclid