Jennifer Smith, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

A004143 Issued in AR

Practice address

3721 Highway 412 E Ste a
Siloam Springs, AR 72761-8010

Phone

(479) 215-3035

NPI assigned

Jul 22, 2014

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

Other names 1

• Jennifer Stone Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roller Weight Loss Institute, Inc.Group PAC ID 0446398770, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Siloam Springs Regional Hospital Hospital, Siloam Springs, AR, CCN 040001

Merit-based Incentive Payment System (MIPS)

Final score

87.5 of 100Reported as apm

Quality

69.34

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.smith.1@1964.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.

• Roller Weight Loss Institute,Inc.

  • Specialist
  • Fayetteville, AR
  • NPI 1073743399
  Medicare reassignment Care Compare group NPD
• Roller Weight Loss Institute Inc

  • Surgery Physician
  • Tulsa, OK
  • NPI 1912446741
  NPD

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

• Siloam Springs Arkansas Hospital Company LLC

  • General Acute Care Hospital
  • Siloam Springs, AR
  • NPI 1902051816
  Care Compare affiliation

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1073921029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N PROGRESS AVE",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614343",
            "telephone_number": "479-549-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 HIGHWAY 412 E STE A",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727618010",
            "telephone_number": "479-215-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A004143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.smith.1@1964.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "3721 Highway 412 E Ste A",
            "city": "Siloam Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727618010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bettie Skelton, RN, CDE
• Skyler H Williams PLLC
• Laura Slaton, SLP
• Amanda Jane Smart, LPC
• Holly Smith
• Kendra Sue Smith, LMT
• Laretta Machelle Solomon
• South Arkansas Emergency Physicians, LLP
• South Arkansas Emergency Physicians, LLP
• South Central Hospitalist LLP

• Acute Care Nurse Practitioner in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.