Active NPI
Neesha Smith, CNP
- Nurse Practitioner
- Jackson, OH
National Provider Identifier
1063432771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 161878
- Practice address
- 280 Pattonsville Rd
Jackson, OH 45640-9452 - Phone
- (740) 395-8805
- Fax
- (740) 395-8855
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 161878 | OH | Primary |
Addresses
Primary practice location
280 Pattonsville Rd
Jackson, OH 45640-9452
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 395-8805
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000312590 | Other | ANTHEM BCBS | |
| 7105059000 | Medicaid | WV | |
| 500016983 | Other | RR MEDICARE | |
| 2245252 | Medicaid | OH | |
| 000000185174 | Other | OH | OH MEDICAID UNISON |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | neesha.smith.1@17389.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- 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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
90 Jackson Pike
Gallipolis, OH 45631-1560
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.27 of 100
- Quality
- 68.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161878 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holzer Hospital Foundation | Past | Accepting new patients | |
| Holzer Medical Center Jackson | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Jackson, OH
- NPI 1629109780
-
- Medicare Defined Swing Bed Hospital Unit
- Jackson, OH
- NPI 1013058882
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Gallipolis, OH
- NPI 1942256888
-
- Critical Access Hospital
- Jackson, OH
- NPI 1669410940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1063432771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-395-8805",
"fax_number": "740-395-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 PATTONSVILLE RD",
"city": "JACKSON",
"state": "OH",
"postal_code": "456409452",
"telephone_number": "740-395-8805",
"fax_number": "740-395-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NEESHA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "161878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000312590",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7105059000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "500016983",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2245252",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID UNISON",
"identifier": "000000185174",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "neesha.smith.1@17389.direct.athenahealth.com",
"affiliation": "N",
"address_1": "280 Pattonsville Rd",
"city": "Jackson",
"state": "OH",
"country_code": "US",
"postal_code": "456409452",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.