Individual provider Active NPI

Elizabeth M Smith, NP

  • Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1184420416
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71016334A Issued in IN
Practice address
14300 E 138TH St BLDG a
Fishers, IN 46037-0087
Phone
(317) 813-1660
Fax
(317) 813-1667
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 28179210A IN
Nurse Practitioner 363L00000X 71016334A IN Primary

Addresses

Primary practice location

14300 E 138TH St BLDG a
Fishers, IN 46037-0087

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 890-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyin@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250422002145 IN Practitioner - Nurse Practitioner 3072038082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians

Practice addresses (Care Compare)

14300 E 138TH St
BLDG a
Fishers, IN 46037-0087
Phone (317) 813-1660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28179210AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Indiana, L.L.C. CurrentSince Mar 24, 2025 Accepting new patients
Intrepid Lane ASC, LLC Current Accepting new patients
Urology of Indiana L.L.C. Nurse Practitioner CurrentSince Mar 24, 2025 Accepting new patients

Locations

120 Avon Market Pl
Ste 200
Avon, IN 46123
Phone (317) 671-8032

2907 S McIntire Dr
Ste A
Bloomington, IN 47403
Phone (812) 332-8765

11380 Illinois St
Carmel, IN 46032
Phone (317) 807-1262

13420 N Meridian St
Ste 270
Carmel, IN 46032
Phone (317) 338-6666

14300 E 138th
Ste A
Fishers, IN 46037
Phone (317) 813-1660

1159 W Jefferson St
Ste 302
Franklin, IN 46131
Phone (317) 736-7651

1 Memorial Sq
Ste 225
Greenfield, IN 46140
Phone (317) 462-0700

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

8902 N Meridian St
Ste 104
Indianapolis, IN 46260
Phone (317) 816-8960

2312 S Dixon Rd
Ste 240
Kokomo, IN 46902
Phone (765) 455-4075

2705 N Lebanon St
Ste 360
Lebanon, IN 46052
Phone (317) 428-5044

1215 Hadley Rd
Ste 203
Mooresville, IN 46158
Phone (317) 831-3043

Interoperability endpoints

  • Direct secure messaging: esmith6510@ecommunitydirect.com
  • Direct secure messaging: urologyin@directaddress.net

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.

Hospital & facility affiliations 5

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": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1184420416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-890-2000",
            "fax_number": "317-813-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH ST BLDG A",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370087",
            "telephone_number": "317-813-1660",
            "fax_number": "317-813-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28179210A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71016334A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "N",
            "address_1": "14300 E 138th St Bldg A",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460370087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.