Kathleen Ann Smerko, MS, PSY NP BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN071540 Issued in AZ

Practice address

1110 E Missouri Ave
Ste 640
Phoenix, AZ 85014-2735

Phone

(602) 235-9505

Fax

(602) 235-9506

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prisma Community CareGroup PAC ID 3678518016, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Prisma Community Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1104929504
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1366453029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E MISSOURI AVE",
            "address_2": "STE 640",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142735",
            "telephone_number": "602-235-9505",
            "fax_number": "602-235-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E MISSOURI AVE",
            "address_2": "STE 640",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142735",
            "telephone_number": "602-235-9505",
            "fax_number": "602-235-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMERKO",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, PSY NP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN071540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smartpractice Allergen Bank LLC
• Meghan Smeal, FNP
• Danielle Smedley, PSY.D.
• Carolyn Dawn Smeltzer, PNP, FNP
• Lona Annette Smeltzer, RN
• Ava Smesik
• SMF Medical PLLC
• Smi Imaging LLC
• Smi Imaging LLC
• Smi Imaging LLC

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.

Verify at the official NPI Registry.