NPIMap

Individual provider Active NPI

Melissa Jean Smith, FNP

  • Family Nurse Practitioner
  • Erie, CO
National Provider Identifier
1124373634
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992182-NP Issued in CO
Practice address
101 Erie Pkwy Ste 101
Erie, CO 80516-4071
Phone
(303) 415-5810
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.0199501 CO
Family Nurse Practitioner 363LF0000X APN.0992182-NP CO Primary

Addresses

Primary practice location

101 Erie Pkwy Ste 101
Erie, CO 80516-4071

Mailing address

PO Box 9049
Boulder, CO 80301-9049
Phone (303) 415-4770

Other practice location 1

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (303) 661-4100

Other practice location 2

6685 Gunpark Dr Ste 102
Boulder, CO 80301-3343
Phone (303) 415-5199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427000702 CO Practitioner - Nurse Practitioner 2062711930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

80 Health Park Dr
Suite 270
Louisville, CO 80027-4644
Phone (303) 661-1860

Hospital & facility affiliations

  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.0199501COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Apr 3, 2017 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
NPI 1518576313 CurrentSince Apr 3, 2017 Accepting new patients
Boulder Community Health CurrentSince Dec 1, 2021 Accepting new patients
Boulder Community Health Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

6685 Gunpark Dr
Ste 102
Boulder, CO 80301
Phone (303) 415-5199

5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

80 Health Park Dr
Ste 270
Louisville, CO 80027
Phone (303) 269-2085

7233 Church Ranch Blvd
Westminster, CO 80021
Phone (303) 925-4137

Interoperability endpoints

  • Direct secure messaging: msmith2069197@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1124373634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9049",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803019049",
            "telephone_number": "303-415-4770",
            "fax_number": "303-415-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ERIE PKWY STE 101",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805164071",
            "telephone_number": "303-415-5810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14300 Orchard Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800239206",
            "country_code": "US",
            "telephone_number": "303-661-4100",
            "fax_number": "303-627-4232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6685 Gunpark Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803013343",
            "country_code": "US",
            "telephone_number": "303-415-5199",
            "fax_number": "303-415-5198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0199501",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992182-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

Verify at the official NPI Registry.