Individual provider Active NPI

Jessalin Smith, NP-C

  • Family Nurse Practitioner
  • Sharon, PA
National Provider Identifier
1437606480
Registry record updated Sep 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026169 Issued in PA
Practice address
740 E State St
Sharon, PA 16146-3328
Phone
(172) 498-3391
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019373 OH
Family Nurse Practitioner 363LF0000X SP026169 PA Primary

Addresses

Primary practice location

740 E State St
Sharon, PA 16146-3328

Mailing address

641 Wilcox Rd
Austintown, OH 44515-4259
Phone (330) 718-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161024002443 OH Practitioner - Nurse Practitioner 2062790140 Reassigns benefits to 5 organizations
I20221018000195 PA Practitioner - Nurse Practitioner 2062790140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mves Austintown LLCGroup PAC ID 1355308875, 26 clinicians
4M Emergency Systems LLCGroup PAC ID 7719882182, 29 clinicians

Practice addresses (Care Compare)

6252 Mahoning Ave
Austintown, OH 44515-2003
Phone (240) 686-2300

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019373OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Oct 20, 2022 Accepting new patients
Steward Medical Group Inc. Current Accepting new patients
Physicians Link Center LLC CurrentSince Feb 1, 2024 Accepting new patients
Mahoning Valley Emergency Specialists LLC CurrentSince Sep 1, 2016 Accepting new patients
Mves Austintown LLC CurrentSince Sep 1, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 20, 2022 Accepting new patients
4M Emergency Systems LLC CurrentSince Mar 1, 2023 Accepting new patients
Tenor Health Foundation Sharon, LLC Past Accepting new patients
Falls Anesthesia Group Inc Past Accepting new patients

Locations

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

1950 Niles Cortland Rd NE
Warren, OH 44484
Phone (234) 600-5752

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Interoperability endpoints

  • Direct secure messaging: jsmith559194@ehrdirect.uhhospitals.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663977600000",
    "number": "1437606480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 WILCOX RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154259",
            "telephone_number": "330-718-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463328",
            "telephone_number": "172-498-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSALIN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019373",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, PA

Sources for this page

Verify at the official NPI Registry.