Individual provider Active NPI

Jerrica Smith

  • Nurse Practitioner
  • Cuyahoga Falls, OH
National Provider Identifier
1316459670
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0034603 Issued in OH
Practice address
421 Portage TRL Ste a
Cuyahoga Falls, OH 44221-3227
Phone
(330) 331-4466
Fax
(234) 334-5055
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 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 APRN.CNP.0034603 OH Primary

Addresses

Primary practice location

421 Portage TRL Ste a
Cuyahoga Falls, OH 44221-3227

Mailing address

421 Portage TRL Ste a
Cuyahoga Falls, OH 44221-3227
Phone (330) 331-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240403003354 OH Practitioner - Nurse Practitioner 2264870617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Renal Care Associates LLC,Group PAC ID 5395132849, 9 clinicians

Practice addresses (Care Compare)

421 Portage TRL
Suite a
Cuyahoga Falls, OH 44221-3227
Phone (330) 331-4466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0034603OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Renal Care Associates LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

421 Portage Trl
Cuyahoga Falls, OH 44221

421 Portage Trl
#A
Cuyahoga Fls, OH 44221

6847 N Chestnut St
Ste 225
Ravenna, OH 44266
Phone (330) 436-3150

Interoperability endpoints

  • Direct secure messaging: jsmith573091@ehrdirect.uhhospitals.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICDHCD

Organizations & group practices 1

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 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": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1316459670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 PORTAGE TRL STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213227",
            "telephone_number": "330-331-4466",
            "fax_number": "234-334-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PORTAGE TRL STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213227",
            "telephone_number": "330-331-4466",
            "fax_number": "234-334-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JERRICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0034603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.