Individual provider Active NPI

Michelle Smith

  • Family Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1194477588
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28164095A Issued in IN
Practice address
2118 25TH St Ste E
Columbus, IN 47201-3240
Phone
(812) 373-2727
NPI assigned
Jan 26, 2022
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28164095A IN Primary

Addresses

Primary practice location

2118 25TH St Ste E
Columbus, IN 47201-3240

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Msmith28239@edirect.crh.org Direct

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
I20220711002343 IN Practitioner - Nurse Practitioner 4789064551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2118 25TH St
Columbus, IN 47201-3240

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28164095AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jennings County Wellcare PC CurrentSince Feb 12, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince May 1, 2022 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince May 1, 2022 Accepting new patients
Jennings County Chiropractic Clinic, P.C. CurrentSince Feb 12, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC Past Accepting new patients

Locations

2118 25th St
Ste C
Columbus, IN 47201
Phone (812) 372-8426

2118 25th St
Ste D
Columbus, IN 47201
Phone (812) 372-8281

2118 25th St
Ste E
Columbus, IN 47201
Phone (812) 373-2700

2118 25th St
Ste H
Columbus, IN 47201
Phone (812) 375-3660

2118 25th St
Ste J
Columbus, IN 47201
Phone (812) 372-8426

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

3203 Middle Rd
Columbus, IN 47203
Phone (812) 373-2700

2200 N State Highway 7
North Vernon, IN 47265
Phone (812) 346-4181

Interoperability endpoints

  • Direct secure messaging: msmith28239@edirect.crh.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1194477588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 25TH ST STE E",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013240",
            "telephone_number": "812-373-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28164095A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Msmith28239@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct address",
            "address_1": "3203 Middle Rd",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472034427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.