Michelle Eastman-Smith
Individual provider Active NPI Family Nurse Practitioner · Hilmar, CA
NPI 1215779673 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1215779673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95066370 (CA)
- Practice address
- 19901 1St St Ste 4
Hilmar, CA 95324-9099 - Phone
- (209) 656-8701
- NPI assigned
- Jun 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240925002013 | CA | Practitioner - Nurse Practitioner | 0244771699 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced Faculty Associates Medical Group Incorporated | Current |
Accepting new patients | |
| Merced Faculty Associates Medical Group Incorporated | Current | Accepting new patients | |
| Merced Faculty Associates Medical Group Incorporated | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95066370 | CA | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.eastman-smith.1@3012.direct.athenahealth.com | Direct |
Other providers in Hilmar, CA
- Sharnjeet Dosanjh
- Dr Sukhmeet Kaur DDS Inc Apc
- Dr Tarlochan Singh DDS Inc a Professional Corporation
- Lynn Elizabeth Dulle
- Elaiza Jazmyn Duran
- Gurmukh Singh Gill
- Michael B Hansted
- Hilmar Unified School District
- Kenneth Patrick Horng
- Jennifer Lee Johnson
All providers in Hilmar, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.