Eric Wayne Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144510 Issued in TX

Practice address

1301 S Coulter St
Suite 200
Amarillo, TX 79106-7910

Phone

(806) 340-0550

Fax

(806) 513-6790

NPI assigned

Sep 1, 2020

Sex

Male

Sole proprietor

No

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 TX

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NWTX Physician Network PLLCGroup PAC ID 4688899149, 30 clinicians

Northwest Urgent Care PLLCGroup PAC ID 7517185127, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209

Merit-based Incentive Payment System (MIPS)

Final score

99.52 of 100Reported as apm

Quality

87.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Northwest Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Amarillo, TX
  • NPI 1225449036

  Family

  Medicare reassignment Care Compare group NPD
• NWTX Physician Network, PLLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1790109916
  Medicare reassignment Care Compare group NPD
• Truepartners Northwest Emergency Associates PLLC

  • Emergency Medicine Physician
  • Amarillo, TX
  • NPI 1912447319
  Medicare reassignment NPD
• NWTX Physician Network, PLLC

  • Rural Health Clinic/Center
  • Borger, TX
  • NPI 1790665610
  NPD

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

• Northwest Texas Healthcare System Inc

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1467442418
  Care Compare affiliation

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1265046932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "address_2": "ATN :IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "806-340-0550",
            "fax_number": "806-513-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST",
            "address_2": "SUITE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791067910",
            "telephone_number": "806-340-0550",
            "fax_number": "806-513-6790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Ross St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791024411",
            "country_code": "US",
            "telephone_number": "806-418-6966",
            "fax_number": "806-418-6967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 SE 34th Avenue",
            "address_2": "Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791186732",
            "country_code": "US",
            "telephone_number": "806-351-7530",
            "fax_number": "806-351-7538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 SW 45th Ave",
            "address_2": "Unit 14",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791095084",
            "country_code": "US",
            "telephone_number": "806-680-1900",
            "fax_number": "806-513-6791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIC",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP144510",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1Q4045",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Engel Smith
• Debra Davenport Smith, MA, LPC
• Denis Craig Smith, LICENSED DISPENSER
• Earl C Smith Jr., M.D.
• Elizabeth Hagen Smith, LPC
• Flint Taylor Smith, MD
• Fredrick Jennings Smith, D.C.
• Jason Smith
• Jennifer Smith
• Kenda C Smith, RN

• Family Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.