Individual provider Active NPI

Berna K Smedley, APN

  • Family Nurse Practitioner
  • Hot Springs Village, AR
National Provider Identifier
1275638728
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A01653 Issued in AR
Practice address
410 Ponce de Leon Dr
Hot Springs Village, AR 71909-8121
Phone
(501) 922-1700
Fax
(501) 922-0826
NPI assigned
Sep 13, 2006
Last updated
Sep 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A01653 AR Primary
Nurse Practitioner 363L00000X AO1653APN AR

Addresses

Primary practice location

410 Ponce de Leon Dr
Hot Springs Village, AR 71909-8121

Mailing address

410 Ponce de Leon Dr
Hot Springs Village, AR 71909-8121
Phone (501) 922-1700

Other identifiers 1

IdentifierTypeStateIssuer
167900758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20070717000028 AR Practitioner - Nurse Practitioner 0143320341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

410 Ponce de Leon Dr
Hot Springs Village, AR 71909-8121
Phone (501) 922-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AO1653APNARMDNurse Practitioner
A01653ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs MRI Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bsmedley164200@directb.mercy.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1275638728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PONCE DE LEON DR",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719098121",
            "telephone_number": "501-922-1700",
            "fax_number": "501-922-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PONCE DE LEON DR",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719098121",
            "telephone_number": "501-922-1700",
            "fax_number": "501-922-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEDLEY",
        "first_name": "BERNA",
        "middle_name": "K",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01653",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "AO1653APN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167900758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

Verify at the official NPI Registry.