Individual provider Active NPI

Jenny L Smith, APRN, FNP-BC

  • Family Nurse Practitioner
  • Milford, NH
National Provider Identifier
1356756647
Registry record updated Jan 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
059259-23 Issued in NH
Practice address
444 Nashua St
St. Joseph Hospital Family Practice
Milford, NH 03055-4915
Phone
(603) 673-3014
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 05929521 NH
Family Nurse Practitioner 363LF0000X 059259-23 NH Primary

Addresses

Primary practice location

444 Nashua St
St. Joseph Hospital Family Practice
Milford, NH 03055-4915

Mailing address

444 Nashua St
St. Joseph Hospital Family Practice
Milford, NH 03055-4915
Phone (603) 673-3014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20140905002163 NH Practitioner - Nurse Practitioner 7315165263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

444 Nashua St
Milford, NH 03055-4915
Phone (603) 673-3014

Hospital & facility affiliations

  • Home Health & Hospice Care Home health agency, Merrimack, NH, CCN 307017
  • Pathways Healthcare LLC Home health agency, Londonderry, NH, CCN 307095
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05929521NHMDRegistered Nurse
059259-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Mar 14, 2016 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Mar 14, 2016 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations

442 Nashua St
Milford, NH 03055
Phone (603) 673-3014

444 Nashua St
Milford, NH 03055
Phone (603) 673-3014

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

166 Kinsley St
Ste 101
Nashua, NH 03060
Phone (603) 881-7141

460 Amherst St
Nashua, NH 03063
Phone (603) 577-8400

Interoperability endpoints

  • Direct secure messaging: jsmith1155889@direct.bsmhealth.org

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.

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484956800000",
    "number": "1356756647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NASHUA ST",
            "address_2": "ST. JOSEPH HOSPITAL FAMILY PRACTICE",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030554915",
            "telephone_number": "603-673-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NASHUA ST",
            "address_2": "ST. JOSEPH HOSPITAL FAMILY PRACTICE",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030554915",
            "telephone_number": "603-673-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNY",
        "middle_name": "L",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2017-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "05929521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "059259-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NH

Sources for this page

Verify at the official NPI Registry.