Active NPI
Tombi Smith
- Family Nurse Practitioner
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209017952
- Practice address
- 2473 McFarland Rd
Rockford, IL 61107 - Phone
- (779) 696-9202
- Fax
- (779) 696-7794
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041382574 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209017952 | IL | Primary |
Addresses
Primary practice location
2473 McFarland Rd
Rockford, IL 61107
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tsmith915270@direct.uwhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Henry Luckow LN
Belvidere, IL 61008-1702
Phone (779) 696-8650
3775 N Mulford Rd
Sa Immediate Care
Rockford, IL 61114-5632
Phone (779) 696-9202
401 Roxbury Rd
Rockford, IL 61107-5075
Phone (815) 397-7340
6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 83.2
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041382574 | IL | MD | Registered Nurse |
| 209017952 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Gastroenterology Associates, LTD. | Family | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Swedishamerican Hospital | Family | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Rockford Gastroenterology Associates, LTD. | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients |
Locations
109 N Franklin St
Byron, IL 61010
Phone (815) 234-3900
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
534 Roxbury Rd
Rockford, IL 61107
Phone (815) 381-7005
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
401 Roxbury Rd
Rockford, IL 61107
Phone (815) 397-7340
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
2473 McFarland Rd
Rockford, IL 61107
Phone (779) 696-0020
4682 E Rockton Rd
Ste 102
Roscoe, IL 61073
Phone (815) 397-7340
954 W State St
Sycamore, IL 60178
Phone (815) 895-9144
Interoperability endpoints
- tombi.smithapn.p1@direct.rga.nextgenshare.com
- tsmith915270@direct.uwhealth.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Ambulatory Surgical Clinic/Center
- Rockford, IL
- NPI 1871536763
-
- Family Medicine Physician
- Rockford, IL
- NPI 1073675187
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1306326616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78866",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532788866",
"telephone_number": "779-696-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2473 MCFARLAND RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61107",
"telephone_number": "779-696-9202",
"fax_number": "779-696-7794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TOMBI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041382574",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209017952",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsmith915270@direct.uwhealth.org",
"affiliation": "N",
"address_1": "2473 McFarland Rd",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "61107",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.