Individual provider Active NPI

Hollie Suzanne Smith, APRN

  • Adult Health Nurse Practitioner
  • Vernon, CT
National Provider Identifier
1245531771
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
004550 Issued in CT
Practice address
30 Hyde Ave Ste 109
Vernon, CT 06066-4503
Phone
(860) 454-0303
Fax
(860) 875-4242
NPI assigned
Nov 15, 2010
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 004550 CT
Adult Health Nurse Practitioner 363LA2200X 004550 CT Primary

Addresses

Primary practice location

30 Hyde Ave Ste 109
Vernon, CT 06066-4503

Mailing address

9 Bishop Rd
Oxford, CT 06478-1597
Phone (866) 881-0979

Other practice location 1

9 Bishop Rd
Oxford, CT 06478-1597
Phone (866) 881-0979

Other practice location 2

30 Lafayette Sq Ste 109
Vernon Rockville, CT 06066-4554
Phone (800) 391-0599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hsmith59309@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110303000399 CT Practitioner - Nurse Practitioner 7416139050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Housecalls, PLLCGroup PAC ID 4284174228, 17 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

30 Lafayette SQ
Suite 30
Vernon, CT 06066-4554
Phone (800) 391-0599

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4550CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare, PC Nurse Practitioner CurrentSince Jan 15, 2020 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Jan 15, 2020 Accepting new patients
Reliant Housecalls, PLLC CurrentSince Nov 15, 2024 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

30 Lafayette Sq
Ste 30
Vernon, CT 06066
Phone (800) 391-0599

30 Lafayette Sq
Ste 109
Vernon Rockville, CT 06066
Phone (800) 391-0599

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • Direct secure messaging: hollie.smith@637.emedpractice.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1245531771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BISHOP RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781597",
            "telephone_number": "866-881-0979",
            "fax_number": "203-643-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HYDE AVE STE 109",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664503",
            "telephone_number": "860-454-0303",
            "fax_number": "860-875-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Bishop Rd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "CT",
            "postal_code": "064781597",
            "country_code": "US",
            "telephone_number": "866-881-0979",
            "fax_number": "203-643-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Lafayette Sq Ste 109",
            "address_purpose": "LOCATION",
            "city": "Vernon Rockville",
            "state": "CT",
            "postal_code": "060664554",
            "country_code": "US",
            "telephone_number": "800-391-0599",
            "fax_number": "980-825-7196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HOLLIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "004550",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hsmith59309@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Prime Healthcare Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "30 Hyde Ave Ste 109",
            "city": "Vernon",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060664503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.