Maureen Lillian Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71011711A Issued in IN

Practice address

8100 E Ridge Rd
Hobart, IN 46342-2504

Phone

(219) 962-6564

NPI assigned

Oct 12, 2021

Last updated

Oct 12, 2021By the provider in NPPES

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Demko Group LLC

  dba The Demko Clinic

  • Chiropractor
  • Chesterton, IN
  • NPI 1710594486

  Family

  Medicare reassignment NPD
• Northern Indiana Maternal and Child Health Network, Inc

  • Ambulatory Family Planning Facility
  • South Bend, IN
  • NPI 1528151602
  NPD (past)
• The Lutheran University Association Inc.

  dba Valparaiso University

  • Student Health Clinic/Center
  • Valparaiso, IN
  • NPI 1841672284
  NPD (past)

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1205598745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 E RIDGE RD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463422504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E RIDGE RD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463422504",
            "telephone_number": "219-962-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAUREEN",
        "middle_name": "LILLIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011711A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Lee Skube
• Lauren Skurka, PA-C
• Richard T Sliz
• Joyce C Smith, PHARMD
• Kayla Smith
• Keane Olufunso Soluade, PHARMD
• Nelson Soto, CADAC II
• Tia Sparks
• Spinal & Neurosurgical Institute P.C.
• St Mary Medical Center Inc

• Family Nurse Practitioner in Hobart, IN
• Providers in Hobart, 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 Oct 12, 2021; 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.