Individual provider Active NPI

Anne Maria Smith, NP

  • Nurse Practitioner
  • Kitty Hawk, NC
National Provider Identifier
1437190048
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP201598 Issued in NC
Practice address
5112 N Croatan Hwy
Kitty Hawk, NC 27949-3988
Phone
(252) 449-7474
Fax
(252) 449-7475
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP201598 NC Primary

Addresses

Primary practice location

5112 N Croatan Hwy
Kitty Hawk, NC 27949-3988

Mailing address

5112 N Croatan Hwy
Kitty Hawk, NC 27949-3988
Phone (252) 449-7474

Other practice location 1

3102 N Croatan Hwy
Kill Devil Hills, NC 27948-9200
Phone (252) 261-9940

Other practice location 2

5002 S Croatan Hwy Ste A
Nags Head, NC 27959-9045
Phone (252) 449-6115

Other practice location 3

2550 N Thunderbird Cir
Mesa, AZ 85215-1214
Phone (480) 776-1636

Other identifiers 2

IdentifierTypeStateIssuer
7003732MedicaidNC
P00311106OtherNCMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060420000624 NC Practitioner - Nurse Practitioner 9436175015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outer Banks Professional Services, LLCGroup PAC ID 3173652096, 163 clinicians

Practice addresses (Care Compare)

5112 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 449-7474

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
177036NYMDDiagnostic Radiology Physician
NP201598NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Nov 11, 2014 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Aug 1, 2012 Accepting new patients
Nextcare Primary Care South Texas PLLC Past Accepting new patients
North Carolina Em I Medical Services P C Past Accepting new patients
Nextcare Primary Care Arizona LLC Past Accepting new patients
Waterway Emergency Physicians LLC Past Accepting new patients
St James Hospital Past Accepting new patients

Locations

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

3102 N Croatan Hwy
Kill Devil Hl, NC 27948
Phone (252) 261-9940

5112 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 449-7474

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

5002 S Croatan Hwy
Ste A
Nags Head, NC 27959
Phone (252) 449-6115

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

Interoperability endpoints

  • Direct secure messaging: asmith15709@direct.ecuhealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1437190048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493988",
            "telephone_number": "252-449-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493988",
            "telephone_number": "252-449-7474",
            "fax_number": "252-449-7475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3102 N Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Kill Devil Hills",
            "state": "NC",
            "postal_code": "279489200",
            "country_code": "US",
            "telephone_number": "252-261-9940",
            "fax_number": "252-261-9087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5002 S Croatan Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Nags Head",
            "state": "NC",
            "postal_code": "279599045",
            "country_code": "US",
            "telephone_number": "252-449-6115",
            "fax_number": "252-449-6116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 N Thunderbird Cir",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852151214",
            "country_code": "US",
            "telephone_number": "480-776-1636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNE",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "NP201598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003732",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00311106",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kitty Hawk, NC

Sources for this page

Verify at the official NPI Registry.