Individual provider Active NPI

Michelle Eastman-Smith

  • Family Nurse Practitioner
  • Hilmar, CA
National Provider Identifier
1215779673
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95066370 Issued in CA
Practice address
19901 1St St Ste 4
Hilmar, CA 95324-9099
Phone
(209) 656-8701
NPI assigned
Jun 7, 2024
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 95066370 CA Primary

Addresses

Primary practice location

19901 1St St Ste 4
Hilmar, CA 95324-9099

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.eastman-smith.1@3012.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240925002013 CA Practitioner - Nurse Practitioner 0244771699 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Merced Faculty Associates Medical Group Incorporated CurrentSince Sep 18, 2024 Accepting new patients
Merced Faculty Associates Medical Group Incorporated Current Accepting new patients
Merced Faculty Associates Medical Group Incorporated CurrentSince Sep 18, 2024 Accepting new patients

Locations

19901 First St
Ste 4
Hilmar, CA 95324
Phone (209) 656-8701

3393 G St
Ste C
Merced, CA 95340
Phone (209) 580-4172

Interoperability endpoints

  • Direct secure messaging: michelle.eastman-smith.1@3012.direct.athenahealth.com

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

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1215779673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-725-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19901 1ST ST STE 4",
            "city": "HILMAR",
            "state": "CA",
            "postal_code": "953249099",
            "telephone_number": "209-656-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN-SMITH",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95066370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.eastman-smith.1@3012.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19901 1st St Ste 4",
            "city": "Hilmar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953249099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilmar, CA

Sources for this page

Verify at the official NPI Registry.