NPIMap

Individual provider Active NPI

Jennifer Kate Smith, PA-C

  • Physician Assistant
  • Nahant, MA
National Provider Identifier
1134468614
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4607 Issued in MA
Practice address
46 Little Nahant Rd
Nahant, MA 01908-1029
Phone
(401) 316-0708
NPI assigned
Feb 4, 2013
Sex
Female
Sole proprietor
No

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 8

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Medical Group Northern Massachusetts Inc 817 clinicians

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20130820000105 MA Practitioner - Physician Assistant 8224270343 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA4607MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Center, Inc. Current Accepting new patients
NSPG Billing LLC Past Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: smith.jennifer.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: jsmith304065@direct.ochin.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA4607 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

46 Little Nahant Rd
Nahant, MA 01908-1029

Mailing address

46 Little Nahant Rd
Nahant, MA 01908-1029
Phone (401) 316-0708

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2021.

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1134468614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 LITTLE NAHANT RD",
            "city": "NAHANT",
            "state": "MA",
            "postal_code": "019081029",
            "telephone_number": "401-316-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 LITTLE NAHANT RD",
            "city": "NAHANT",
            "state": "MA",
            "postal_code": "019081029",
            "telephone_number": "401-316-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nahant, MA

Sources for this page

Verify at the official NPI Registry.