Individual provider Active NPI

Cynthia Nanett Smith, APRN

  • Family Nurse Practitioner
  • Moore, OK
National Provider Identifier
1235730581
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200219 Issued in OK
Practice address
551 SE 4TH St
Moore, OK 73160-6790
Phone
(405) 703-9321
Fax
(405) 759-7004
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10750506 OK
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 200219 OK Primary

Addresses

Primary practice location

551 SE 4TH St
Moore, OK 73160-6790

Mailing address

PO Box 268953
Oklahoma City, OK 73126-8953
Phone (405) 310-2715

Other practice location 1

1215 Crossroads Blvd Ste 100
Norman, OK 73072-3359
Phone (405) 310-2715

Other names 1

  • Cynthia Nanett Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20210105002945 OK Practitioner - Nurse Practitioner 7719390012 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians
Exceptional Physicians Group Ardmore Hospital PLLCGroup PAC ID 8921542622, 22 clinicians

Practice addresses (Care Compare)

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

1641 Woerz Way
Ardmore, OK 73401-5071
Phone (436) 341-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10750506OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aetherius Medical LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Tulsa Emergency Medical Center Inc Single Specialty CurrentSince Oct 6, 2024 Accepting new patients
Ies ER Oklahoma LLC Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Medical Resource Management, LLC Single Specialty CurrentSince Oct 6, 2024 Accepting new patients
Healthcare Express, LLP Single Specialty Current Accepting new patients
Healthcare Express, LLP CurrentSince Jan 1, 2021 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC Single Specialty CurrentSince Sep 19, 2022 Accepting new patients
Exceptional Physicians Group Ardmore Hospital PLLC Single Specialty CurrentSince Jun 2, 2024 Accepting new patients
Healthcare Express, LLP CurrentSince Jan 1, 2021 Accepting new patients

Locations

1641 Woerz Way
Ardmore, OK 73401
Phone (436) 341-7800

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

551 SE 4th St
Moore, OK 73160
Phone (405) 703-9321

1121 NW 63rd St
Ste 5001
Nichols Hills, OK 73116
Phone (405) 652-0632

408 N Main St
Noble, OK 73068
Phone (405) 300-1476

334 12th Ave SE
Ste 110
Norman, OK 73071
Phone (405) 321-1911

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

1701 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 302-8999

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Interoperability endpoints

  • Direct secure messaging: cynthia.smithfnp.p10@direct.nextcare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: cynthia.smithfnp.p8@direct.nextcare.nextgenshare.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1235730581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268953",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268953",
            "telephone_number": "405-310-2715",
            "fax_number": "405-463-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 SE 4TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606790",
            "telephone_number": "405-703-9321",
            "fax_number": "405-759-7004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Crossroads Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730723359",
            "country_code": "US",
            "telephone_number": "405-310-2715",
            "fax_number": "405-310-6720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CYNTHIA",
        "middle_name": "NANETT",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "10750506",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "200219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "SMITH",
            "middle_name": "NANETT",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.