Kelley Smodic, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP008361 Issued in PA

Practice address

1117 Woodward Dr
Suite 4
Greensburg, PA 15601-7228

Phone

(724) 834-0432

Fax

(888) 972-1731

NPI assigned

Nov 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innervision Therapy, LLCGroup PAC ID 6507945896, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Innervision Therapy, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensburg, PA
  • NPI 1740460260
  Medicare reassignment Care Compare group
• Community Nursing Service of Greater Jeannette, Inc.

  dba Community HomeHealth Care

  • Home Health Agency
  • Greensburg, PA
  • NPI 1023098985
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1083895965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 WOODWARD DR",
            "address_2": "SUITE 4",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017228",
            "telephone_number": "724-834-0432",
            "fax_number": "888-972-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 WOODWARD DR",
            "address_2": "SUITE 4",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017228",
            "telephone_number": "724-834-0432",
            "fax_number": "888-972-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMODIC",
        "first_name": "KELLEY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "PA",
            "license": "SP008361",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP008361",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SP008361",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "SP008361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald K Smith, D.O.
• Susan Smith
• Tara Lynn Smith
• Terry Jean Smith, RN
• Susan Smochko, MS.ED.
• Cynthia Ann Soccio, PT
• Mark A Soccio, D.M.D.
• Deborah Pofi Sokolowski, D.O.
• Joshua Michael Sokolowski II, DO, DC
• Jerry Shawn Soles, RPH

• Psychiatric/Mental Health Nurse Practitioner in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.