Individual provider Active NPI

Joseph C. Smihula, NP

  • Adult Health Nurse Practitioner
  • Santa Rosa, CA
National Provider Identifier
1154421873
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
16859 Issued in CA
Practice address
3555 Round Barn Cir
Santa Rosa, CA 95403-1757
Phone
(707) 528-1050
Fax
(707) 525-3874
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 16859 CA Primary
Adult Health Nurse Practitioner 363LA2200X NP699679 CA

Addresses

Primary practice location

3555 Round Barn Cir
Santa Rosa, CA 95403-1757

Mailing address

407 W Country Club Rd
Roswell, NM 88201-5209
Phone (575) 627-9110

Other practice location 1

5345 W Hillsdale Ave
Visalia, CA 93291-5143
Phone (559) 622-0100

Other practice location 2

550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 331-3405

Other identifiers 2

IdentifierTypeStateIssuer
699678OtherCARN LICENSE
699679OtherCANP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070220000222 CA Practitioner - Nurse Practitioner 7416059589 Reassigns benefits to 5 organizations
I20210107002869 MT Practitioner - Nurse Practitioner 7416059589 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP699679CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health CurrentSince Nov 23, 2020 Accepting new patients
St. Peter'S Health CurrentSince Nov 23, 2020 Accepting new patients
Regents of the University of California CurrentSince Dec 13, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 13, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
UC Regents CurrentSince Sep 9, 2019 Accepting new patients
University of California San Francisco CurrentSince Dec 13, 2019 Accepting new patients
UC Regents Current Accepting new patients
University of California San Francisco CurrentSince Dec 13, 2019 Accepting new patients
St Peter'S Health Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 13, 2019 Accepting new patients
UC Regents CurrentSince Sep 9, 2019 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

Interoperability endpoints

  • Direct secure messaging: jsmihula854495@direct.hfhs.org
  • Direct secure messaging: joseph.smihula.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1154421873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015209",
            "telephone_number": "575-627-9110",
            "fax_number": "575-623-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 ROUND BARN CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031757",
            "telephone_number": "707-528-1050",
            "fax_number": "707-525-3874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5345 W Hillsdale Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915143",
            "country_code": "US",
            "telephone_number": "559-622-0100",
            "fax_number": "559-622-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474033239",
            "country_code": "US",
            "telephone_number": "812-331-3405",
            "fax_number": "812-355-6538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMIHULA",
        "first_name": "JOSEPH",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "16859",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP699679",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "699678",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "699679",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.