Individual provider Active NPI

Amber Dawn Smith, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1063188613
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021033427 Issued in MO
Practice address
5101 East Highway 36
Saint Joseph, MO 64507
Phone
(816) 676-4058
Fax
(833) 629-0186
NPI assigned
Aug 23, 2021
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-80507-052 KS
Family Nurse Practitioner 363LF0000X 2021033427 MO Primary

Addresses

Primary practice location

5101 East Highway 36
Saint Joseph, MO 64507

Mailing address

5101 East Highway 36
Saint Joseph, MO 64507-2537
Phone (816) 676-4058

Other names 1

  • Ms. Amber Dawn Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211016000059 MO Practitioner - Nurse Practitioner 1951709260 Reassigns benefits to 1 organization
I20211018001529 KS Practitioner - Nurse Practitioner 1951709260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enhanced Wound Care LLCGroup PAC ID 2769877000, 6 clinicians

Practice addresses (Care Compare)

9393 W 110TH St
Suite 509
Overland Park, KS 66210-1442
Phone (913) 429-3068

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80.74
Improvement activities
40
Cost
78.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-80507-052KSMDFamily Nurse Practitioner
2021033427MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Wound Care LLC CurrentSince Aug 2, 2023 Accepting new patients
Enhanced Wound Care LLC CurrentSince Aug 2, 2023 Accepting new patients
Marathon Health LLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

9393 W 110th St
Ste 509
Overland Park, KS 66210
Phone (913) 429-3068

9393 W 110th St
Ste 527
Overland Park, KS 66210
Phone (918) 231-8724

6440 Avondale Dr
Nichols Hills, OK 73116

Interoperability endpoints

  • Direct secure messaging: amber.reed.1@14940.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1063188613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 EAST HIGHWAY 36",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072537",
            "telephone_number": "816-676-4058",
            "fax_number": "833-629-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 EAST HIGHWAY 36",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "64507",
            "telephone_number": "816-676-4058",
            "fax_number": "833-629-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80507-052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021033427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "SMITH",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "MSN, APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.