Individual provider Active NPI

Jeremy Le Smith

  • Nurse Practitioner
  • Enfield, CT
National Provider Identifier
1285519140
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F07250228 Issued in MA
Practice address
100 Abbe Rd
Enfield, CT 06082-5207
Phone
(706) 346-7113
NPI assigned
Aug 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F07250228 MA Primary

Addresses

Primary practice location

100 Abbe Rd
Enfield, CT 06082-5207

Mailing address

100 Abbe Rd
Enfield, CT 06082-5207
Phone (706) 346-7113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20251023000032 MA Practitioner - Nurse Practitioner 6507354438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

415 Cooley St
Unit 3
Springfield, MA 01128-1149
Phone (413) 782-4878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07250228MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Massachusetts, PC Current Accepting new patients
Afc Physicians of Massachusetts CurrentSince Nov 10, 2025 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Nov 10, 2025 Accepting new patients

Locations

370 Providence Hwy
Dedham, MA 02026
Phone (781) 461-0200

415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1285519140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ABBE RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825207",
            "telephone_number": "706-346-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ABBE RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825207",
            "telephone_number": "706-346-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEREMY",
        "middle_name": "LE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-09",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "F07250228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.