Individual provider Active NPI

Jill R Smith, NP

  • Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1164427076
Registry record updated
On this page

Key facts

NPPES NPI Registry

NPPES NPI Registry

Updated by the provider on

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

Addresses

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001392AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ima, Inc. Current Accepting new patients

Locations

550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

Organizations & group practices 1

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.

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on ; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.