Individual provider Active NPI

Lynnette Lea Smith, AGNP

  • Primary Care Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1194357830
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
H157739 Issued in IA
Practice address
2460 Towncrest Dr
Iowa City, IA 52240-6622
Phone
(319) 338-7862
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X H157739 IA Primary

Addresses

Primary practice location

2460 Towncrest Dr
Iowa City, IA 52240-6622

Mailing address

2400 Cimarron Dr
Marion, IA 52302-9791
Phone (319) 241-5935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20200320001129 IA Practitioner - Nurse Practitioner 3971931296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 378-8362

788 8TH Ave SE
204 Mercy Employee Health Center
Cedard Rapids, IA 52401-2107
Phone (319) 398-6342

Hospital & facility affiliations

  • Mercy Home Care Home health agency, Cedar Rapids, IA, CCN 167151
  • Centerwell Home Health Home health agency, Hiawatha, IA, CCN 167124
  • Unitypoint at Home Home health agency, Cedar Rapids, IA, CCN 167005
  • Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
  • St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H157739IAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients
Mercy Services Iowa City, Inc. CurrentSince Mar 11, 2020 Accepting new patients
Mercy Physician Associates Inc CurrentSince Mar 1, 2022 Accepting new patients
Mercy Physician Associates, Inc CurrentSince Mar 1, 2022 Accepting new patients
Mercy Services Iowa City, Inc. CurrentSince Mar 11, 2020 Accepting new patients
Mercy Physician Associates, Inc Current Accepting new patients
Mercy Physician Associates, Inc Past Accepting new patients

Locations

543 7th St SE
Cedar Rapids, IA 52401
Phone (319) 861-7600

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541

1486 S 1st Ave
Ste B
Iowa City, IA 52240
Phone (319) 337-7271

2460 Towncrest Dr
Iowa City, IA 52240
Phone (319) 338-7862

Interoperability endpoints

  • Direct secure messaging: lynnettesmith@mic.allscriptsdirect.net

Organizations & group practices 8

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1194357830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CIMARRON DR",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523029791",
            "telephone_number": "319-241-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 TOWNCREST DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406622",
            "telephone_number": "319-338-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYNNETTE",
        "middle_name": "LEA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "H157739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.