Joan K Smith, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A103947 Issued in IA

Practice address

1400 Senate Ave
Suite 108
Red Oak, IA 51566-1271

Phone

(712) 623-7280

Fax

(712) 623-7279

NPI assigned

Oct 6, 2005

Last updated

Feb 24, 2012By the provider in NPPES

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 IA

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montgomery County Memorial HospitalGroup PAC ID 9032015805, shared by 7 NPIs, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wel-Home Health of Red Oak Home health agency, Red Oak, IA, CCN 167282
• Montgomery County Memorial Hospital Hospital, Red Oak, IA, CCN 161363

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcjsmith@mcmh.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Montgomery County Memorial Hospital

  • Internal Medicine Physician
  • Red Oak, IA
  • NPI 1265405310
  Medicare reassignment NPD
• Montgomery County Memorial Hospital

  • Critical Access Hospital
  • Red Oak, IA
  • NPI 1376539338
  Medicare reassignment NPD
• Montgomery County Memorial Hospital

  dba MCMH Pharmacy

  • Community/Retail Pharmacy
  • Red Oak, IA
  • NPI 1699887547
  NPD

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

• Kismet RDK, LLC

  dba WEL-Home Health of Red Oak

  • Home Health Agency
  • Red Oak, IA
  • NPI 1306829411
  Care Compare affiliation
• Montgomery County Memorial Hospital

  • Critical Access Hospital
  • Red Oak, IA
  • NPI 1376539338
  Care Compare affiliation

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1407844129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 498",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515660498",
            "telephone_number": "712-623-7280",
            "fax_number": "712-623-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SENATE AVE",
            "address_2": "SUITE 108",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661271",
            "telephone_number": "712-623-7280",
            "fax_number": "712-623-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOAN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A103947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Kay Shannon, RD
• Crystal Michele Sharp, LIMHP, LMHC
• Shenandoah Medical Center (Shenandoah Physicians Clinic-Red Oak)
• Abigail E Shipp, DIP CBE(CBI), CBD
• James Simmons, COTA
• Dale Eugene Stogdill Jr., ARNP-C
• Jason David Swain, TLMHC, PLMHP
• Swfac PLC
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Red Oak)
• Jennifer Marie Thomason, TRADITIONAL MIDWIFE

• Nurse Practitioner in Red Oak, IA
• Providers in Red Oak, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.