Joann Smith, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209-027248 Issued in IL

Practice address

213 NW 10TH St
Fairfield, IL 62837-1216

Phone

(618) 842-4617

NPI assigned

May 9, 2023

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 IL

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairfield Memorial Hospital AssociationGroup PAC ID 5698671741, shared by 4 NPIs, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jsmith@direct.horizonhealthcare.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4

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.

• Fairfield Memorial Hospital Association

  • Critical Access Hospital
  • Fairfield, IL
  • NPI 1255422416
  Medicare reassignment NPD
• Fairfield Memorial Hospital Association

  • Family Medicine Physician
  • Fairfield, IL
  • NPI 1649442419
  Medicare reassignment NPD
• Fairfield Memorial Hospital Association

  • Rural Health Clinic/Center
  • Fairfield, IL
  • NPI 1295908853
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fairfield Memorial Hospital Association

  • Critical Access Hospital
  • Fairfield, IL
  • NPI 1255422416
  Care Compare affiliation

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1407546823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 NW 10TH ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371216",
            "telephone_number": "618-842-4617",
            "fax_number": "618-300-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 NW 10TH ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371216",
            "telephone_number": "618-842-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOANN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209-027248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth J Schweiss, P.A.
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• Melissa A. Simpson, LPN
• Skill Builders Therapy LLC
• Denise Renae Sons, RN,CNOR,CRNFA
• South Eastern Illinois Counseling Center Inc
• Southern Illinois Primary Care Associates, P.C.
• Southern Illinois Primary Care Associates, P.C.
• Southern Illinois Surgical Care Associates, P.C.

• Psychiatric/Mental Health Nurse Practitioner in Fairfield, IL
• Providers in Fairfield, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.