Martha Smith, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

913084 Issued in TX

Practice address

3801 E US Highway 377 Ste 100
Granbury, TX 76049-7620

Phone

(817) 573-1380

Fax

(817) 573-1381

NPI assigned

Sep 5, 2006

Last updated

Sep 13, 2020By the provider in NPPES

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Physiatry Group LLCGroup PAC ID 1759353519, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merit Health Central Hospital, Jackson, MS, CCN 250072

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

89.53 of 100Reported as apm

Quality

79.07

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martha.smith.1@1293.direct.athenahealth.com
• Direct secure messaging: marthasmith@mscm.allscriptsdirect.net

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.

• Legacy Physiatry Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
  • NPI 1316078769
  Medicare reassignment Care Compare group NPD

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

• Jackson Hma LLC

  dba Merit Health Central

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1033163092
  Care Compare affiliation

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1083716450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 YORK LN",
            "city": "LIPAN",
            "state": "TX",
            "postal_code": "764621009",
            "telephone_number": "601-750-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E US HIGHWAY 377 STE 100",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497620",
            "telephone_number": "817-573-1380",
            "fax_number": "817-573-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARTHA",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "913084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365622501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martha.smith.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3801 E US Highway 377 Ste 100",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760497620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Garrett Slimp, RN
• Alexander Donovan Smith, D.M.D.
• Charles Brooks Smith, M.D.
• Jeffrey Scott Smith, MD
• Jennifer Smith, M.D.
• Richard Shay Smith, PT
• Tammy J Smith, P.T.
• Susan Lynn Smithwick, APRN, FNP-C
• Molly Solis, M.S., CCC-SLP
• Erin Solomon, PT, DPT

• Family Nurse Practitioner in Granbury, TX
• Providers in Granbury, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.