Individual provider Active NPI

Richele Smart

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1013577709
Registry record updated Jun 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024373 Issued in OH
Practice address
4240 Munson St NW
Canton, OH 44718-2978
Phone
(330) 491-8000
NPI assigned
Jun 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2019

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 024373 OH Primary

Addresses

Primary practice location

4240 Munson St NW
Canton, OH 44718-2978

Mailing address

4240 Munson St NW
Canton, OH 44718-2978
Phone (330) 491-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190731001574 OH Practitioner - Nurse Practitioner 9931435757 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians

Practice addresses (Care Compare)

400 Medical Park Dr
LL1
Dover, OH 44622-3207
Phone (330) 602-3098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024373OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Aug 8, 2022 Accepting new patients
Advanced Cardiovascular Center, Inc CurrentSince Sep 1, 2019 Accepting new patients
Partners Physician Group CurrentSince Aug 8, 2022 Accepting new patients
Union Physician Services, LLC CurrentSince Dec 18, 2024 Accepting new patients

Locations

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2603 W Market St
Ste 200
Akron, OH 44313
Phone (330) 854-1571

4160 Holiday St NW
Canton, OH 44718
Phone (330) 491-8000

400 Medical Park Dr
Ste LL1
Dover, OH 44622
Phone (330) 364-2700

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11532/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1013577709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182978",
            "telephone_number": "330-491-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182978",
            "telephone_number": "330-491-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "RICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.