Penny Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005801 Issued in CA

Practice address

361 N San Jacinto St
Ste a,B & C
Hemet, CA 92543-3118

Phone

(951) 492-0728

Fax

(951) 492-0745

NPI assigned

Jan 27, 2017

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seven Star Hospital Associates IncGroup PAC ID 4789083338, 129 clinicians

Aung Thu MD IncGroup PAC ID 4688694078, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Menifee Global Medical Center Hospital, Sun City, CA, CCN 050684

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Aung Thu MD Inc

  • Specialist
  • Hemet, CA
  • NPI 1154468924

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Seven Star Hospital Associates Inc.

  dba Seven Star Radiology

  • Diagnostic Radiology Physician
  • Hemet, CA
  • NPI 1043813140

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Natalia Jacobs MD PC

  • Addiction Medicine (Internal Medicine) Physician
  • Menifee, CA
  • NPI 1538913173

  Single Specialty

  Medicare reassignment NPD

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

• KPC Global Medical Centers, Inc.

  dba Menifee Global Medical Center

  • General Acute Care Hospital
  • Sun City, CA
  • NPI 1467764308
  Care Compare affiliation

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1114464179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 LAURSEN ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434437",
            "telephone_number": "951-929-5537",
            "fax_number": "951-929-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 N SAN JACINTO ST",
            "address_2": "STE A,B & C",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433118",
            "telephone_number": "951-492-0728",
            "fax_number": "951-492-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PENNY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne E. Smith, MPT
• Eddie Lee Smith Jr.
• Jeffrey Keith Smith, PA-C
• Monica Smith
• Nikki Smith
• Stacie Lynn Smith
• Xavier Smith
• Dominic Smothers
• James William Snider, D.D.S.
• Soheil Khodadadi DMD, DDS, Inc. (Hemet Dental Care)

• Family Nurse Practitioner in Hemet, CA
• Providers in Hemet, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.