Individual provider Active NPI

Nina Wilson Smelley, CRNP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1275163503
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-146573 Issued in AL
Practice address
3719 Dauphin St
Mobile, AL 36608-1753
Phone
(251) 344-9630
NPI assigned
Jan 26, 2020
Last updated
Jan 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2020

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 1-146573 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3719 Dauphin St
Mobile, AL 36608-1753

Mailing address

11532 Sedona Dr
Daphne, AL 36526-5675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200330001269 AL Practitioner - Nurse Practitioner 0547699415 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

3715 Dauphin St
Suite 7a
Mobile, AL 36608-1775
Phone (251) 410-4001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-146573ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Alabama, Inc CurrentSince Apr 1, 2020 Accepting new patients
Springhill Physician Practices, Inc CurrentSince Apr 15, 2024 Accepting new patients
Springhill Physician Practices, Inc CurrentSince Apr 15, 2024 Accepting new patients

Locations

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

1000A Cody Rd S
Mobile, AL 36695
Phone (251) 340-7942

3632 Dauphin St
Ste 101B
Mobile, AL 36608
Phone (251) 460-5280

3715 Dauphin St
Ste 7A
Mobile, AL 36608
Phone (251) 410-4001

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

Interoperability endpoints

  • Direct secure messaging: nsmelley@springhillphy.directbygreenway.com

Organizations & group practices 3

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 1

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": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579996800000",
    "number": "1275163503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11532 SEDONA DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365265675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-344-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMELLEY",
        "first_name": "NINA",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-146573",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.