Active NPI
Stacey Michelle Smetzer, CNP
- Family Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.11641-NP
- Practice address
- 700 Children'S Drive
Columbus, OH 43205-2696 - Phone
- (614) 722-2350
- Fax
- (614) 722-2350
- NPI assigned
- Aug 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.334240-COA1 | OH | |
| Family Nurse Practitioner | 363LF0000X | COA.11641-NP | OH | Primary |
Addresses
Primary practice location
700 Children'S Drive
Columbus, OH 43205-2696
Mailing address
700 Children'S Drive
Columbus, OH 43205-2696
Phone (614) 722-2350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Ohio State University College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Children'S Dr
Columbus, OH 43205-2664
Phone (614) 722-2350
700 Childrens Dr
Columbus, OH 43205-2664
Hospital & facility affiliations
- Nationwide Children'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.334240-COA1 | OH | MD | Registered Nurse |
| COA.11641-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Radiological Institute, Inc | Family | Current | Accepting new patients |
| Nationwide Children'S Hospital | Past | Accepting new patients | |
| Ohio Gastroenterology Group, Inc. | Past | Accepting new patients |
Locations
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
Organizations & group practices 3
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.
-
- Pediatric Radiology Physician
- Columbus, OH
- NPI 1508895608
Family
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1124197637
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1134152986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1124333083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDREN'S DRIVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052696",
"telephone_number": "614-722-2350",
"fax_number": "614-722-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDREN'S DRIVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052696",
"telephone_number": "614-722-2350",
"fax_number": "614-722-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMETZER",
"first_name": "STACEY",
"middle_name": "MICHELLE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-16",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.334240-COA1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.11641-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.