Individual provider Active NPI

Brenna Ashley Smith

  • Family Nurse Practitioner
  • Memphis, MO
National Provider Identifier
1447973797
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023003913 Issued in MO
Practice address
450 E Sigler Ave Ste a
Memphis, MO 63555-1726
Phone
(660) 465-2828
NPI assigned
Sep 21, 2022
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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 2023003913 MO Primary
Emergency Registered Nurse 163WE0003X 2018012663 MO

Addresses

Primary practice location

450 E Sigler Ave Ste a
Memphis, MO 63555-1726

Mailing address

450 E Sigler Ave
Memphis, MO 63555-1726
Phone (660) 465-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230505000241 MO Practitioner - Nurse Practitioner 6406211945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland County Memorial HospitalGroup PAC ID 8224940366, shared by 6 NPIs, 32 clinicians

Practice addresses (Care Compare)

450 E Sigler Ave
Memphis, MO 63555-1726

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2018012663MOMDEmergency Registered Nurse
2023003913MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland County Memorial Hospital Current Accepting new patients
Scotland County Memorial Hospital Current Accepting new patients
Scotland County Memorial Hospital CurrentSince Apr 13, 2023 Accepting new patients
Scotland County Memorial Hospital CurrentSince Apr 13, 2023 Accepting new patients
Scotland County Memorial Hospital PastSince Jun 23, 2025 Accepting new patients

Locations

450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828

450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828

11024 Jefferson St
Wyaconda, MO 63474
Phone (660) 479-5553

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1447973797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E SIGLER AVE",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635551726",
            "telephone_number": "660-465-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E SIGLER AVE STE A",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635551726",
            "telephone_number": "660-465-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENNA",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023003913",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MO",
            "license": "2018012663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, MO

Sources for this page

Verify at the official NPI Registry.