Individual provider Active NPI

Ashley Ann Smith, DPM

  • Podiatrist
  • Lawrenceville, IL
National Provider Identifier
1316507890
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
135.001051 Issued in IL
Practice address
2200 State St
Lawrenceville, IL 62439-1852
Phone
(618) 943-1000
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 135.001051 IL Primary

Addresses

Primary practice location

2200 State St
Lawrenceville, IL 62439-1852

Mailing address

1601 Montclair Dr
Vincennes, IN 47591-5902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230214002268 IL Practitioner - Podiatry 9830561182 Reassigns benefits to 2 organizations
I20260217001821 IN Practitioner - Podiatry 9830561182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gibson General Hospital IncGroup PAC ID 5991788069, 20 clinicians
Lawrence County Memorial HospitalGroup PAC ID 7517144249, shared by 4 NPIs, 33 clinicians

Practice addresses (Care Compare)

1808 Sherman Dr
Suite 2209
Princeton, IN 47670-1043
Phone (812) 385-9420

2200 State St
Lawrenceville, IL 62439-1852
Phone (618) 943-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135.001051ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence County Memorial Hospital Multi-Specialty CurrentSince Oct 3, 2022 Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Gibson General Hospital, Inc Multi-Specialty CurrentSince Jan 11, 2026 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Oct 3, 2022 Accepting new patients
Associated Pathologists, LLC Multi-Specialty Current Accepting new patients
Gibson General Hospital Inc. Multi-Specialty Past Accepting new patients

Locations

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

1808 Sherman Dr
Ste 2209
Princeton, IN 47670
Phone (812) 385-9420

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

Organizations & group practices 6

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 5

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1316507890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTCLAIR DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391852",
            "telephone_number": "618-943-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "135.001051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, IL

Sources for this page

Verify at the official NPI Registry.