Belinda R Smith-Wilson, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71002338A Issued in IN

Practice address

3010 E State Blvd
Fort Wayne, IN 46805-4700

Phone

(260) 496-9940

Fax

(260) 496-8971

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Health Essential LLC

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1932725942
  Medicare reassignment NPD
• Anthony Medical Associates P C

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1003892555
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1194865386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 S ANTHONY BLVD",
            "address_2": "SUITE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468063386",
            "telephone_number": "260-447-8982",
            "fax_number": "260-447-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054700",
            "telephone_number": "260-496-9940",
            "fax_number": "260-496-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-WILSON",
        "first_name": "BELINDA",
        "middle_name": "R",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002338A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan T Smead
• Aisha-Amina Smiley, MSW
• Krystal Smiley, RBT
• Suzanne B. Smith-Elekes, DO
• Taylor Smith-Graber
• Shiloh Marie Smith-Wittwer, LMHCA, LPC
• Adrienne Smith, LMHC
• Alyssa R Smith, BCBA
• Amanda Marie Smith
• Amanda Nichole Smith, ATC/OTR

• Family Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.