Individual provider Active NPI

Carissa Shanae Smith, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Rocky Mount, NC
National Provider Identifier
1568072817
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013384 Issued in NC
Practice address
804 English Rd Ste 100
Rocky Mount, NC 27804-6027
Phone
(252) 443-3133
Fax
(252) 443-6726
NPI assigned
Aug 2, 2020
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 5013384 NC Primary

Addresses

Primary practice location

804 English Rd Ste 100
Rocky Mount, NC 27804-6027

Mailing address

804 English Rd Ste 100
Rocky Mount, NC 27804-6027
Phone (252) 443-3133

Other identifiers 2

IdentifierTypeStateIssuer
206123OtherNCRN LICENSE
5013384OtherNCNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200922000706 NC Practitioner - Nurse Practitioner 8628496759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations Family Practice PAGroup PAC ID 7517977200, 33 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

804 English Rd
Suite 100
Rocky Mount, NC 27804-6023
Phone (984) 333-2741

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Practice, PA Current Accepting new patients
Generations Family Practice, PA CurrentSince Jun 10, 2024 Accepting new patients
Generations Family Practice, PA CurrentSince Jun 10, 2024 Accepting new patients

Locations

1021 Darrington Dr
Ste 101
Cary, NC 27513
Phone (919) 852-3339

1309 Lees Chapel Rd
Greensboro, NC 27455
Phone (336) 286-5505

804 English Rd
Ste 100
Rocky Mount, NC 27804
Phone (252) 443-3133

Interoperability endpoints

  • Direct secure messaging: carissa.smith@kpcnc.eclinicaldirectplus.com

Organizations & group practices 4

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 3

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": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1568072817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ENGLISH RD STE 100",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046027",
            "telephone_number": "252-443-3133",
            "fax_number": "252-443-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 ENGLISH RD STE 100",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046027",
            "telephone_number": "252-443-3133",
            "fax_number": "252-443-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARISSA",
        "middle_name": "SHANAE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "206123",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "5013384",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.