Individual provider Active NPI

Jenifer Smyer, FNP-C, AGACNP-BC

  • Critical Care Medicine Nurse Practitioner
  • Deming, NM
National Provider Identifier
1427419357
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
CNP-02988 Issued in NM
Practice address
3100 E Pine St
Deming, NM 88030-9124
Phone
(575) 567-3088
NPI assigned
Mar 20, 2016
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X CNP-02988 NM Primary

Addresses

Primary practice location

3100 E Pine St
Deming, NM 88030-9124

Mailing address

3100 E Pine St
Deming, NM 88030-9124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20171115002411 NM Practitioner - Nurse Practitioner 6901185529 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mimbres Internal Medicine PA CurrentSince Feb 24, 2018 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Apr 11, 2018 Accepting new patients
Southwest Emergency Medical Associates of NM PC CurrentSince Sep 16, 2017 Accepting new patients
Sierra Vista Hospital Current Accepting new patients
Ess Hospitalist LLC CurrentSince May 1, 2018 Accepting new patients
Donald J Stinar MD PastSince Feb 24, 2018 Accepting new patients

Locations

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (800) 617-7717

122 S Gold Ave
Ste 3
Deming, NM 88030
Phone (505) 544-7280

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1427419357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E PINE ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880309124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E PINE ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880309124",
            "telephone_number": "575-567-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYER",
        "first_name": "JENIFER",
        "credential": "FNP-C, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-20",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NM",
            "license": "CNP-02988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.