Juli Ann Smelser , NP-C
Nurse Practitioner • Maumee, OH
1661 Holland Rd Ste 200
Maumee, OH 435371659
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on September 18, 2008; this date does not establish years in practice.
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Published CMS data list 935 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99233 — Subsequent hospital care with moderate levelof medical decision making: 304 service units.
- 99214 — Established patient outpatient office visit: 221 service units.
- 99232 — Subsequent hospital care with moderate levelof medical decision making: 175 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,608 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Albuterol Sulfate Hfa (Albuterol Sulfate) — 346 prescription fills, including refills.
- Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) — 237 prescription fills, including refills.
- Prednisone — 139 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 28 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: 200. Middle half: 88 to 433.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 817 in 2020 to 935 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1661 Holland Rd Ste 200
Maumee, OH 435371659
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Holland, OH; Oregon, OH. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Toledo Clinic Incorporated. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Toledo Medical College
2008
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
557 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $84,078 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $63,916 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
2,084 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$580,541 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,074.38 across 76 records.
By nature of payment
- Food and Beverage: $1,884.33 across 74 records.
- Education: $190.05 across 2 records.
Reporting-company totals (3 largest of 22)
- AstraZeneca Pharmaceuticals LP: $493.15 across 9 records.
- Regeneron Pharmaceuticals, Inc.: $304.18 across 8 records.
- HARMONY BIOSCIENCES LLC: $229.74 across 7 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
18 years (graduated 2008)
CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Juli Smelser has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Juli Smelser as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Maumee and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: 200. Middle half: 88 to 433.
Too few clinicians listed under Nurse Practitioner in Maumee have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $14,983. Middle half: $6,723 to $30,403.
Too few clinicians listed under Nurse Practitioner in Maumee have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $11,287. Middle half: $4,812 to $22,230.
Too few clinicians listed under Nurse Practitioner in Maumee have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: 341. Middle half: 95 to 1,344.
Too few clinicians listed under Nurse Practitioner in Maumee have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: $17,171. Middle half: $1,153 to $140,965.
Too few clinicians listed under Nurse Practitioner in Maumee have Medicare Part D data for 2024 to compare.
16 active clinicians are listed under Nurse Practitioner with a practice address in Maumee, OH (4,257 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Maumee
6.2% of these 16 clinicians have the CMS telehealth indicator.
50% of these 16 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 14% from 817 in 2020 to 935 in 2024.
- 2020: 817
- 2021: 873
- 2022: 919
- 2023: 905
- 2024: 935
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Medicare-allowed amount
Medicare-allowed amount increased 49% from $56,362 in 2020 to $84,078 in 2024.
- 2020: $56,362
- 2021: $55,444
- 2022: $75,987
- 2023: $76,456
- 2024: $84,078
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Paid by Medicare
Paid by Medicare increased 52% from $41,980 in 2020 to $63,916 in 2024.
- 2020: $41,980
- 2021: $41,037
- 2022: $59,447
- 2023: $57,904
- 2024: $63,916
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 21% from 1,327 in 2020 to 1,608 in 2024.
- 2020: 1,327
- 2021: 1,369
- 2022: 756
- 2023: 1,331
- 2024: 1,608
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30-day fills
30-day fills decreased 24% from 2,750 in 2020 to 2,084 in 2024.
- 2020: 2,750
- 2021: 2,918
- 2022: 1,193
- 2023: 1,748
- 2024: 2,084
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Part D drug cost
Part D drug cost increased 416% from $112,584 in 2020 to $580,541 in 2024.
- 2020: $112,584
- 2021: $138,210
- 2022: $156,692
- 2023: $420,261
- 2024: $580,541
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 22% from $1,702.59 in 2021 to $2,074.38 in 2025.
- 2021: $1,702.59
- 2022: $833.97
- 2023: $966.35
- 2024: $1,382.45
- 2025: $2,074.38
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 76 records totaling $2,074.38.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
OFEV | General | $125.00 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $124.56 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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BREZTRI | General | $122.11 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $119.44 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FASENRA | General | $118.45 |
| HARMONY BIOSCIENCES LLC |
Education
In-kind items and services
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— | General | $99.99 |
| Regeneron Pharmaceuticals, Inc. |
Education
In-kind items and services
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DUPIXENT | General | $90.06 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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BREZTRI | General | $41.32 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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OPSUMIT | General | $36.10 |
| Baxter Healthcare |
Food and Beverage
In-kind items and services
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Hillrom - Vest System Model 105 Home Care | General | $31.21 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $31.15 |
| Baxter Healthcare |
Food and Beverage
In-kind items and services
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Hillrom - Vest System Model 105 Home Care | General | $27.32 |
| JAZZ PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
|
XYWAV | General | $27.19 |
| HARMONY BIOSCIENCES LLC |
Food and Beverage
In-kind items and services
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WAKIX | General | $25.54 |
| HARMONY BIOSCIENCES LLC |
Food and Beverage
In-kind items and services
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WAKIX | General | $24.98 |
| Inogen, Inc. |
Food and Beverage
Cash or cash equivalent
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INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH | General | $24.84 |
| HARMONY BIOSCIENCES LLC |
Food and Beverage
In-kind items and services
|
WAKIX | General | $24.50 |
| Paratek Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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NUZYRA | General | $24.28 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $24.09 |
| Verona Pharma, Inc. |
Food and Beverage
Cash or cash equivalent
|
Ohtuvayre | General | $23.99 |
| United Therapeutics Corporation |
Food and Beverage
In-kind items and services
|
Tyvaso | General | $23.70 |
| HARMONY BIOSCIENCES LLC |
Food and Beverage
In-kind items and services
|
WAKIX | General | $23.20 |
| Inogen, Inc. |
Food and Beverage
Cash or cash equivalent
|
INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH | General | $22.68 |
| Avadel CNS Pharmaceuticals, LLC |
Food and Beverage
In-kind items and services
|
LUMRYZ | General | $22.67 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
OFEV | General | $22.14 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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304 | 143 | $205.00 | $95.19 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
221 | 198 | $208.00 | $102.09 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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175 | 108 | $142.00 | $63.52 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
169 | 157 | $141.00 | $72.74 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
55 | 54 | $400.00 | $137.68 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
11 | 11 | $281.00 | $145.16 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Albuterol Sulfate Hfa | Albuterol Sulfate | 346 | 10,913 | $9,606.42 | 151 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 237 | 9,420 | $192,939.61 | 59 |
| Prednisone | Prednisone | 139 | 1,890 | $414.58 | 101 |
| Montelukast Sodium | Montelukast Sodium | 107 | 5,410 | $1,456.50 | 36 |
| Breo Ellipta | Fluticasone/Vilanterol | 91 | 3,150 | $40,391.32 | 26 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 81 | 3,150 | $7,095.82 | 24 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 75 | 3,000 | $61,477.52 | 22 |
| Azithromycin | Azithromycin | 71 | 1,987 | $489.13 | 38 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 45 | 1,950 | $29,348.36 | 12 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 42 | 2,010 | $9,882.12 | 17 |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 34 | 1,560 | $23,943.97 | — |
| Dupixent Pen | Dupilumab | 33 | 896 | $123,934.64 | — |
| Ventolin Hfa | Albuterol Sulfate | 32 | 875 | $1,502.49 | 14 |
| Roflumilast | Roflumilast | 31 | 1,376 | $3,177.43 | — |
| Fluticasone Propionate | Fluticasone Propionate | 27 | 1,260 | $278.00 | 12 |
| Ropinirole Hcl | Ropinirole Hcl | 25 | 810 | $24.03 | — |
| Doxycycline Hyclate | Doxycycline Hyclate | 23 | 219 | $146.07 | 22 |
| Bevespi Aerosphere | Glycopyrrolate/Formoterol Fum | 22 | 780 | $11,096.43 | — |
| Incruse Ellipta | Umeclidinium Bromide | 20 | 720 | $8,341.06 | — |
| Symbicort | Budesonide/Formoterol Fumarate | 19 | 570 | $3,744.59 | — |
| Spiriva Respimat | Tiotropium Bromide | 19 | 930 | $15,707.51 | — |
| Arnuity Ellipta | Fluticasone Furoate | 15 | 690 | $5,348.16 | — |
| Eliquis | Apixaban | 14 | 870 | $16,954.28 | — |
| Zonisamide | Zonisamide | 14 | 420 | $749.73 | — |
| Cefuroxime | Cefuroxime Axetil | 12 | 81 | $103.52 | 11 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-01-09NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20090226000416
OH
5395801385
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Toledo Clinic Incorporated
1661 Holland Rd, Maumee, OH 435374207
Phone: 4198437800
Secondary Practice Locations
2702 Navarre Ave Ste 310
Oregon, OH 436163224
Phone: 4198437800
1650 Eber Rd Ste F
Holland, OH 435289793
Phone: 4198664328
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1661 HOLLAND RD STE 200, MAUMEE, OH 435371659 (Tel: 4198437800)
NPI status registered as active in NPPES database
Registered at 1650 EBER RD STE F, HOLLAND, OH 435289793 (Tel: 4198664328)
Registered at 6349 JULIANNA LN, WHITEHOUSE, OH 435719067 (Tel: 5672465165)
Recorded as JULI SMELSER, NP-C
Nurse Practitioner (license number reported to NPPES: OH COA.10187-NP)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Maumee
- Melanie Schell, FNP-BC
- Lorrie Elchert, NURSE PARCTITIONER
- Tiffany Decker, APRN, FNP-BC
- Jill Michalak
- Shelby Nelson
- Heather Cole, APRN
Mailing Address
6349 Julianna Ln
Whitehouse, OH 435719067
Phone: 5672465165