Individual provider Active NPI

Kristy P Smith

  • Family Nurse Practitioner
  • Acton, MA
National Provider Identifier
1063766970
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN261784 Issued in MA
Practice address
321 Main St
Acton, MA 01720-3718
Phone
(978) 263-0680
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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 RN261784 MA Primary

Addresses

Primary practice location

321 Main St
Acton, MA 01720-3718

Mailing address

400 Hollis Rd
Lunenburg, MA 01462-2228
Phone (978) 549-3457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20130129000091 MA Practitioner - Nurse Practitioner 4981858909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acton Medical Associates PCGroup PAC ID 7315919404, 34 clinicians

Practice addresses (Care Compare)

321 Main St
Acton, MA 01720-3718
Phone (978) 635-8700

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as group
Quality
86.03
Promoting interoperability
99
Improvement activities
40
Cost
71.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN261784MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acton Medical Associates, PC CurrentSince Apr 7, 2014 Accepting new patients

Locations

45 Discovery Way
Acton, MA 01720

321 Main St
Acton, MA 01720
Phone (978) 263-1131

Interoperability endpoints

  • Direct secure messaging: kristy.smith@amapc1.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBBCD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1063766970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HOLLIS RD",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014622228",
            "telephone_number": "978-549-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203718",
            "telephone_number": "978-263-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTY",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN261784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.