Jessica C Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95006196 Issued in CA

Practice address

15434 W Sage St
Victorville, CA 92392-9751

Phone

(760) 843-0506

Fax

(760) 843-0507

NPI assigned

Apr 12, 2017

Last updated

Oct 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Foothill Behavioral Health Consultants IncGroup PAC ID 9739276882, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJCJDD/Endpoint/GJCJDD
• Direct secure messaging: jessica.smith.1@26559.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foothill Behavioral Health Consultants Inc

  • Psychiatry Physician
  • Victorville, CA
  • NPI 1265443154
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Southland Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Anaheim, CA
  • NPI 1932640935
  Medicare reassignment NPD
• Infinity Medical Agency LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1346084977

  Family

  NPD Authorized official
• Desert Valley Hospital, LLC

  dba Desert Valley Hospital

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1851396576
  NPD (past)
• Dr.Mikel Walk in Clinic Inc

  • Family Medicine Physician
  • Hesperia, CA
  • NPI 1346250396
  NPD (past)
• Savanna Olsson, Pmhnp: a Professional Nursing Corporation

  • Nursing Care Agency
  • Victorville, CA
  • NPI 1942955935
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1013441484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15434 W SAGE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929751",
            "telephone_number": "760-843-0506",
            "fax_number": "760-843-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15434 W SAGE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929751",
            "telephone_number": "760-843-0506",
            "fax_number": "760-843-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95006196",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006196",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95006196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Smith
• Benjamin Andrew Smith, BCBA
• Camille Dian Smith
• Charles Stuart Smith, RADT R1543910124
• Edwina Smith, RN
• Kaden Thomas Smith
• Kasey Smith
• Shawn Robert Smith, PHARMD
• Zamariah Smith
• Nikki Smithson

• Family Nurse Practitioner in Victorville, CA
• Providers in Victorville, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.