Bettina Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11018583 Issued in FL

Practice address

11373 Cortez Blvd Ste 301
Brooksville, FL 34613-5411

Phone

(352) 293-3467

Fax

(352) 293-4438

NPI assigned

Mar 28, 2022

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Learning to Achieve Wellness IncGroup PAC ID 9234514464, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Learning to Achieve Wellness Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brandon, FL
  • NPI 1033849575

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Partners in Medicine & Surgery, P.a.

  • MOHS-Micrographic Surgery Physician
  • Wesley Chapel, FL
  • NPI 1265713903
  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1245980655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3399",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346113399",
            "telephone_number": "352-293-3467",
            "fax_number": "352-293-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 301",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135411",
            "telephone_number": "352-293-3467",
            "fax_number": "352-293-4438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11375 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346135409",
            "country_code": "US",
            "telephone_number": "352-293-3467",
            "fax_number": "352-293-4438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17330 Ayers Rd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346046876",
            "country_code": "US",
            "telephone_number": "352-585-0790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7007 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346098610",
            "country_code": "US",
            "telephone_number": "352-293-3467",
            "fax_number": "352-293-4438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12170 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346135578",
            "country_code": "US",
            "telephone_number": "352-293-3467",
            "fax_number": "352-293-4438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12440 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346132628",
            "country_code": "US",
            "telephone_number": "352-293-3467",
            "fax_number": "352-293-4438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17535 Darby Ln",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335584817",
            "country_code": "US",
            "telephone_number": "352-293-3467",
            "fax_number": "352-293-4438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BETTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11018583",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brooksville",
            "affiliation": "N",
            "address_1": "17330 Ayers Rd",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346046876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brooksville",
            "affiliation": "N",
            "address_1": "17330 Ayers Rd",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346046876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rosa Singletary
• Skinny LLC
• Britni Sklencar, DPM
• Eric Sladek, M.D.
• Erin Slater, RD
• Edward Scott Smith, ARNP NP-C
• Gregory Thomas Smith, DO
• India Smith, RBT
• Jacqueline Smith, ARNP
• Lorelle J Smith, ARNP

• Family Nurse Practitioner in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.