Individual provider Active NPI

Jordan Claire Smith, MSN, FNP-C

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1013514553
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904020 Issued in MS
Practice address
2550 Flowood Dr Ste 300
Flowood, MS 39232-9306
Phone
(601) 420-0034
NPI assigned
Oct 7, 2020
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904020 MS Primary

Addresses

Primary practice location

2550 Flowood Dr Ste 300
Flowood, MS 39232-9306

Mailing address

2550 Flowood Dr Ste 300
Flowood, MS 39232-9306
Phone (601) 420-0034

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordan.smith.p1@direct.mroc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20201110000903 MS Practitioner - Nurse Practitioner 5193135721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Rheumatology and Osteoporosis Center PLLCGroup PAC ID 1456629385, 3 clinicians

Practice addresses (Care Compare)

2550 Flowood Dr
Flowood, MS 39232-9303
Phone (601) 420-0034

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Rheumatology and Osteoporosis Center PLLC CurrentSince Oct 26, 2020 Accepting new patients
Arthritis, Osteoporosis Treatment and Research Center PLLC CurrentSince Oct 11, 2020 Accepting new patients

Locations

2500 Flowood Dr Ste 300
Flowood, MS 39232

2550 Flowood Dr
Ste 300
Flowood, MS 39232
Phone (601) 420-0034

Interoperability endpoints

  • Direct secure messaging: jordan.smith.p1@direct.mroc.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1013514553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR STE 300",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329306",
            "telephone_number": "601-420-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR STE 300",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329306",
            "telephone_number": "601-420-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JORDAN",
        "middle_name": "CLAIRE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan.smith.p1@direct.mroc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2550 Flowood Dr Ste 300",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392329306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.