Individual provider Active NPI

Marcia Renee Smith, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Washington, PA
National Provider Identifier
1497845515
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
UP000939G Issued in PA
Practice address
90 W Chestnut St
Suite 400
Washington, PA 15301-4524
Phone
(724) 228-7113
Fax
(724) 228-8587
NPI assigned
Oct 13, 2006
Last updated
May 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X UP000939G PA Primary

Addresses

Primary practice location

90 W Chestnut St
Suite 400
Washington, PA 15301-4524

Mailing address

2305 McNary Blvd
Pittsburgh, PA 15235-2737
Phone (412) 242-6631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111219000720 PA Practitioner - Nurse Practitioner 1052586104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adagio Health Inc.Group PAC ID 3870488950, 16 clinicians

Practice addresses (Care Compare)

1097 Oak St
Indiana, PA 15701-1651
Phone (724) 349-2022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adagio Health Inc. Obstetrics & Gynecology Current Accepting new patients
Adagio Health Inc. CurrentSince Apr 5, 1971 Accepting new patients
Adagio Health Inc. Obstetrics & Gynecology Current Accepting new patients
Adagio Health Inc. CurrentSince Apr 5, 1971 Accepting new patients
Adagio Health Inc. Obstetrics & Gynecology Past Accepting new patients
Adagio Health Inc. Obstetrics & Gynecology Past Accepting new patients
Adagio Health Inc. Obstetrics & Gynecology Past Accepting new patients
Adagio Health Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

2304 Brodhead Rd
Aliquippa, PA 15001
Phone (724) 375-8147

323 Sunset Dr
Ste 2
Butler, PA 16001
Phone (724) 282-2730

118 E Plum St
Edinboro, PA 16412
Phone (814) 734-7600

1097 Oak St
Indiana, PA 15701
Phone (724) 349-2022

2 Highland Park Dr
Uniontown, PA 15401
Phone (724) 437-1582

90 W Chestnut St
Ste 400
Washington, PA 15301
Phone (724) 206-9535

Interoperability endpoints

  • Direct secure messaging: marcia.smith@direct.adagiohealth.nextgenshare.com

Organizations & group practices 8

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1497845515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 MCNARY BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152352737",
            "telephone_number": "412-242-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W CHESTNUT ST",
            "address_2": "SUITE 400",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014524",
            "telephone_number": "724-228-7113",
            "fax_number": "724-228-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARCIA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "UP000939G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.