Individual provider Active NPI

Patrice Smith

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1467159426
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013798A Issued in IN
Practice address
5718 Crawfordsville Rd
Indianapolis, IN 46224-3704
Phone
(317) 240-5001
NPI assigned
Feb 10, 2023
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28252173A IN
Family Nurse Practitioner 363LF0000X 71013798A IN Primary

Addresses

Primary practice location

5718 Crawfordsville Rd
Indianapolis, IN 46224-3704

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (317) 240-5001

Other names 1

  • Patrice Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230511002390 IN Practitioner - Nurse Practitioner 5193181428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28252173AINMDRegistered Nurse
71013798AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aims-Med, LLC CurrentSince May 1, 2025 Accepting new patients
Aims, LLC PastSince Sep 17, 2023 Accepting new patients

Locations

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

1167 Wilson Dr
Greenwood, IN 46143
Phone (317) 851-3101

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

111 E 3rd St
Unit 764
Mishawaka, IN 46546

Organizations & group practices 2

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": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1467159426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "317-240-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 CRAWFORDSVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462243704",
            "telephone_number": "317-240-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28252173A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013798A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICE",
            "last_name": "SMITH",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.