Jill M Smith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

45619 Issued in KS

Practice address

4013 N Ridge Rd
Ste 210
Wichita, KS 67205-8860

Phone

(316) 945-7309

Fax

(316) 945-9131

NPI assigned

Jul 14, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Little Clinic of Kansas LLC

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1821483132
  Medicare reassignment

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1396744116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 E CENTRAL AVE",
            "address_2": "LITTLE CLINIC CENTRAL & ROCK",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062100",
            "telephone_number": "316-207-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 N RIDGE RD",
            "address_2": "STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058860",
            "telephone_number": "316-945-7309",
            "fax_number": "316-945-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200267830A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Smith
• Jessica Smith
• Jessica Renee Smith, LMSW
• Jessica Rose Smith, MD
• Jill A Smith, CRNA
• John L Smith, MD
• John P Smith, DO, FACOS
• Kaidyn Smith
• Katarina Isabella Smith
• Katy Laurissa Smith, PHARMD

• Family Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.