Jennifer D Smith, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

904854 Issued in MS

Practice address

1005 W Congress St
Brookhaven, MS 39601-2603

Phone

(601) 833-9388

Fax

(601) 833-9495

NPI assigned

Sep 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridging Community With Healthcare, LLCGroup PAC ID 9537380944, 12 clinicians

Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057

Merit-based Incentive Payment System (MIPS)

Final score

57.12 of 100Reported as group

Quality

61.43

Improvement activities

20

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.smith.1@29866.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 and National Provider Directory roles.

• Bridging Community With Healthcare, LLC

  • Primary Care Clinic/Center
  • Brookhaven, MS
  • NPI 1043627987
  Medicare reassignment Care Compare group NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  MS, Nurse Practitioner

  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD

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

• King'S Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  Care Compare affiliation

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1063180420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W CONGRESS ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012603",
            "telephone_number": "601-833-9388",
            "fax_number": "601-833-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W CONGRESS ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012603",
            "telephone_number": "601-833-9388",
            "fax_number": "601-833-9495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "MS",
            "postal_code": "396012603",
            "country_code": "US",
            "telephone_number": "601-833-9495",
            "fax_number": "601-833-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "MS",
            "postal_code": "396012603",
            "country_code": "US",
            "telephone_number": "601-833-9388",
            "fax_number": "601-833-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482009",
            "country_code": "US",
            "telephone_number": "601-600-2053",
            "fax_number": "601-833-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "MS",
            "postal_code": "396012603",
            "country_code": "US",
            "telephone_number": "601-833-9388",
            "fax_number": "601-833-9495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonette Smith
• Cecilia Smith, COTA
• Chad P Smith, O.D.
• David Anthony Smith, MSN, PMHNP-BC
• Hollie Christina Smith, BSN, RN
• Jonathan Smith, FNP
• Joseph Reid Smith, ACNPC-AG
• Kariean Smith, LPC-S
• Kia C Smith, M.REL, PCMHT
• Lesleye L Smith, CCC-A

• Nurse Practitioner in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.