Jacqueline Ruark Smith, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R073073 Issued in MD

Practice address

8 Denton PLZ
Denton, MD 21629-9501

Phone

(443) 606-2300

Fax

(443) 606-2305

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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 MD

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Umms Ambulatory Care LLCGroup PAC ID 8426461427, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Denton, MD
  • NPI 1487251997

  MD

  Medicare reassignment Care Compare group NPD
• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Easton, MD
  • NPI 1114524626
  NPD
• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Glen Burnie, MD
  • NPI 1801651674
  NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1376554303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE STE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935364",
            "telephone_number": "410-296-7190",
            "fax_number": "443-991-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DENTON PLZ",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216299501",
            "telephone_number": "443-606-2300",
            "fax_number": "443-606-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "middle_name": "RUARK",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R073073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Anne Shuler, LCSWC
• James Randall Sides, MD
• Sightrite Medical MD LLC
• Sightrite Medical MD LLC
• Sinclair Construction
• Rachel Malinda Spellman, CRNP
• Leland Spencer, M.D,
• Statcare Group III, PC
• Michelle Lynn Steele, LCSW-C
• Danielle Stewart

• All providers in Denton, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.