Individual provider Active NPI

Deborah H Smith, CRNP

  • Acute Care Nurse Practitioner
  • Mechanicsburg, PA
National Provider Identifier
1265098529
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP020648 Issued in PA
Practice address
1149 Dry Powder Cir
Mechanicsburg, PA 17050-7331
Phone
(717) 418-3758
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X RN285962L PA
Acute Care Nurse Practitioner 363LA2100X SP020648 PA Primary

Addresses

Primary practice location

1149 Dry Powder Cir
Mechanicsburg, PA 17050-7331

Mailing address

1149 Dry Powder Cir
Mechanicsburg, PA 17050-7331
Phone (717) 418-3758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191021000607 PA Practitioner - Nurse Practitioner 3779814959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

50 N 12TH St
Pshmg Pulmonary Crit
Lemoyne, PA 17043-1440
Phone (717) 234-2561

Hospital & facility affiliations

  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Penn State Health Hampden Medical Center Hospital, Enola, PA, CCN 390336

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN285962LPAMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients

Locations

220 Wilson St
Ste 104
Carlisle, PA 17013
Phone (717) 218-1832

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

50 N 12th St
Lemoyne, PA 17043
Phone (717) 243-2561

1750 5th Ave
Ste 300
York, PA 17403
Phone (717) 652-1107

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1265098529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 DRY POWDER CIR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507331",
            "telephone_number": "717-418-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 DRY POWDER CIR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507331",
            "telephone_number": "717-418-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBORAH",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "PA",
            "license": "RN285962L",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP020648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.