Individual provider Active NPI

Greta Smith, FNP

  • Family Nurse Practitioner
  • Galatia, IL
National Provider Identifier
1467858712
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012164 Issued in IL
Practice address
124 E Main St
Galatia, IL 62935-1300
Phone
(618) 268-4083
Fax
(618) 268-4104
NPI assigned
Nov 14, 2014
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012164 IL Primary

Addresses

Primary practice location

124 E Main St
Galatia, IL 62935-1300

Mailing address

124 E Main St
Galatia, IL 62935-1300
Phone (618) 268-4083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20151207002279 IL Practitioner - Nurse Practitioner 6406156819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hardin County General HospitalGroup PAC ID 2365400272, 9 clinicians

Practice addresses (Care Compare)

6 Ferrell Rd
Rosiclare, IL 62982-1052
Phone 6182856634309

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209012164ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hardin County General Hospital CurrentSince Nov 18, 2024 Accepting new patients

Locations

6 Ferrell Rd
Rosiclare, IL 62982
Phone (618) 285-6634

Interoperability endpoints

  • Direct secure messaging: greta.smith@hmcclinic.directbygreenway.com
  • Direct secure messaging: gsmith22229@sih.direct-ci.com

Organizations & group practices 1

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 8

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": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1467858712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "city": "GALATIA",
            "state": "IL",
            "postal_code": "629351300",
            "telephone_number": "618-268-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "city": "GALATIA",
            "state": "IL",
            "postal_code": "629351300",
            "telephone_number": "618-268-4083",
            "fax_number": "618-268-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GRETA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galatia, IL

Sources for this page

Verify at the official NPI Registry.