Individual provider Active NPI

Erin Marie Smith Herr, CNP

  • Family Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1558315929
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2795033APNP Issued in WI
Practice address
110 Polaris Pkwy
Suite 220
Westerville, OH 43082-8024
Phone
(614) 895-7280
Fax
(614) 895-8826
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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 2795033APNP WI Primary
Family Nurse Practitioner 363LF0000X COA 05807 NP OH

Addresses

Primary practice location

110 Polaris Pkwy
Suite 220
Westerville, OH 43082-8024

Mailing address

110 Polaris Pkwy
Suite 220
Westerville, OH 43082-8024
Phone (614) 895-7280

Other names 1

  • Erin Marie Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090209000340 OH Practitioner - Nurse Practitioner 9032155536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

1350 Yauger Rd
Mount Vernon, OH 43050-9233
Phone (740) 397-2350

3255 Levis Commons Blvd
Perrysburg, OH 43551-7145
Phone 24852819814031

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as group
Quality
58.53
Promoting interoperability
100
Improvement activities
40
Cost
86.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 05807 NPOHMDFamily Nurse Practitioner
2795033APNPWIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Inc Current Accepting new patients
Mobile Medical, Inc. CurrentSince Sep 13, 2012 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Past Accepting new patients

Locations

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

110 Polaris Pkwy
Ste 220
Westerville, OH 43082
Phone (614) 895-7280

Interoperability endpoints

  • Direct secure messaging: erin.herr.p19@direct.360care.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1558315929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 POLARIS PKWY",
            "address_2": "SUITE 220",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828024",
            "telephone_number": "614-895-7280",
            "fax_number": "614-895-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 POLARIS PKWY",
            "address_2": "SUITE 220",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828024",
            "telephone_number": "614-895-7280",
            "fax_number": "614-895-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH HERR",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2795033APNP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 05807 NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.