Phyllis Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704291906 Issued in MI

Practice address

311 E Alcott St
Kalamazoo, MI 49001-6169

Phone

(269) 373-4636

Fax

(269) 373-5216

NPI assigned

Sep 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.06 of 100Reported as group

Quality

80.07

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1053197269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E ALCOTT ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490016169",
            "telephone_number": "269-373-4636",
            "fax_number": "269-373-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E ALCOTT ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490016169",
            "telephone_number": "269-373-4636",
            "fax_number": "269-373-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHYLLIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704291906NSA230IZ",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704291906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindie Adele Smith, LPC
• Nadya Smith
• Nicolina Marie Smith, DO/MBA
• Peter Smith, M.D.
• Phoebe Analisa Smith
• Porshy'a L Smith
• Quinton Smith
• Randall Smith, CRNA
• Ryan Steven Smith, MD
• Sarah Elizabeth Smith, CTRS

• Family Nurse Practitioner in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.