Monica Smith, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP2759 Issued in AZ

Practice address

17610 N 17TH LN
Phoenix, AZ 85023

Phone

(480) 255-6393

NPI assigned

Oct 9, 2007

Last updated

Jul 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cas Medical Center, LLCGroup PAC ID 3870990732, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: monica.smith.p1@direct.itsofaz.nextgenshare.com

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.

• DWF Chiro Care LLC

  dba Arrowhead Physical Medicine LLC

  • Adult Health Nurse Practitioner
  • Peoria, AZ
  • NPI 1831521871
  Medicare reassignment NPD
• Einfectionmd PC

  • Infectious Disease Physician
  • Phoenix, AZ
  • NPI 1417437526
  Medicare reassignment NPD
• MGT Psych LLC

  dba Signature Mobile Specialists

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1992401228
  Medicare reassignment NPD
• Cas Medical Center, LLC

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1619489176
  Care Compare group

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1245428994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17610 N 17TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850232524",
            "telephone_number": "480-255-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17610 N 17TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85023",
            "telephone_number": "480-255-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MONICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP2759",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "AZ",
            "license": "AP 2759",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422237",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Carl Smith
• Michael Francis Smith, RN
• Michael James Smith, MD
• Michael James Smith, MD
• Michelle N Smith, PHARM.D.
• Nicholas Jay Smith
• Nicole Sharron Smith, FNP-C
• Olivia Nicole Smith, PA-C
• Page Michael Smith, PHARM D, RPH
• Pamela Ruth Smith, M.S.W.

• Adult Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.