Provider Profile
Sophia Smith, NP is a nurse practitioner — family based in Waukesha, WI. Medicare claims data shows Sophia provided 338 services to 234 patients. The services billed most often include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes, anticoagulant management of patient taking warfarin, and subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
N20W22961 WATERTOWN RD
Waukesha, WI 53186
Within Nurse Practitioner - Family generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Allergies
Allergy & skin
Blood disorders
Bone & joint
Dermatology
Digestive
Digestive health
Eye conditions
Heart health
Hormones & endocrine
Infections
Men's health
Mental health
Metabolic & weight
Nerve & joint
Nerve & spine
Neurological
Pain
Pain & spine
Pediatric infections
Respiratory
Skin
Sleep
Urinary health
Women's health
Most searched procedures
Allergies
Chronic condition care
Dermatology
Diagnostic screening
Diagnostic tests
Ear, nose & throat
Heart health
Hormones & endocrine
Injections
Injury care
Lab tests
Lifestyle counseling
Mental health
Minor procedures
Minor surgery
Neurological care
Occupational health
Pain management
Physical exams
Prescriptions
Preventative care
Preventative exams
Respiratory care
Screenings
Sexual health
Skin procedures
Sleep
Urgent care
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Women's health
338 services · 234 patients · 10 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Anticoagulant management of patient taking warfarin | Treatment | 93793 |
46 | As often as other peers in Nurse Practitioner, Family |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99349 |
127 | As often as other peers in Nurse Practitioner, Family |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | Office visit | 99309 |
34 | Less often than most peers in Nurse Practitioner, Family |
| Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | Office visit | 99348 |
26 | Less often than most peers in Nurse Practitioner, Family |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | Office visit | 99308 |
25 | Less often than most peers in Nurse Practitioner, Family |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99490 |
23 | Less often than most peers in Nurse Practitioner, Family |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | Office visit | 99310 |
21 | Less often than most peers in Nurse Practitioner, Family |
| Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | Office visit | 99345 |
13 | Less often than most peers in Nurse Practitioner, Family |
| Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | Office visit | 99350 |
12 | Less often than most peers in Nurse Practitioner, Family |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Billing code | G0180 |
11 | Less often than most peers in Nurse Practitioner, Family |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Sophia Smith is a nurse practitioner in Waukesha, WI. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.
NPI registry
Sophia Smith is listed at N20W22961 Watertown Rd, Waukesha, WI 53186. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (262) 875-5070. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Sophia Smith's National Provider Identifier is 1154085215. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Sophia Smith attended Other, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
Sophia Smith has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Sophia Smith provides treatments such as anticoagulant management of patient taking warfarin, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Sophia Smith. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.