Active NPI
Jeanne Betz Smoot, CRNP
- Pain Medicine Physician
- Frederick, MD
National Provider Identifier
1477595916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- R112789
- Practice address
- 915 Toll House Ave Ste 103
Frederick, MD 21701-5911 - Phone
- (410) 328-6403
- Fax
- (410) 328-6405
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R112789 | MD | |
| Pain Medicine Physician | 208VP0000X | R112789 | MD | Primary |
Addresses
Primary practice location
915 Toll House Ave Ste 103
Frederick, MD 21701-5911
Mailing address
198 Thomas Johnson Drive, Suite 5
Frederick, MD 21702
Phone (301) 624-5390
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 613335-01 | Other | MD | BLUE CROSS/BLUE SHIELD |
| 699065700 | Medicaid | MD |
Other names 1
- Jeanne Marie Betz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2018 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1477595916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 THOMAS JOHNSON DRIVE, SUITE 5",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21702",
"telephone_number": "301-624-5390",
"fax_number": "301-624-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 TOLL HOUSE AVE STE 103",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015911",
"telephone_number": "410-328-6403",
"fax_number": "410-328-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOOT",
"first_name": "JEANNE",
"middle_name": "BETZ",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R112789",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MD",
"license": "R112789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "613335-01",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "699065700",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNE",
"last_name": "BETZ",
"middle_name": "MARIE",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.