Individual provider Active NPI

Jane S. Smith, FNP

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1568710994
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014826 Issued in NC
Practice address
1235 E Cherokee St
Springfield, MO 65804-2203
Phone
(417) 820-3064
Fax
(417) 820-8862
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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 5014826 NC Primary
Family Nurse Practitioner 363LF0000X 2012028464 MO

Addresses

Primary practice location

1235 E Cherokee St
Springfield, MO 65804-2203

Mailing address

709 N Justice St
Ste a
Hendersonville, NC 28791-3455
Phone (828) 697-7377

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMO

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
I20211022000242 NC Practitioner - Nurse Practitioner 3870744212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

709 N Justice St
Suite a
Hendersonville, NC 28791-3455
Phone (828) 693-8019

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Oct 1, 2021 Accepting new patients
Pardee Neurology Associates CurrentSince Oct 1, 2021 Accepting new patients
Henderson County Hospital Corporation Current Accepting new patients

Locations

2775 Hendersonville Rd
Ste 210
Arden, NC 28704
Phone (828) 435-8280

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
#16
Hendersonville, NC 28791
Phone (828) 694-8350

709 N Justice St
Ste A
Hendersonville, NC 28791
Phone (828) 694-7630

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

45 Hendersonville Hwy
Ste B
Pisgah Forest, NC 28768
Phone (828) 435-8080

Interoperability endpoints

  • Direct secure messaging: jsmith277734@directb.mercy.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1568710994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N JUSTICE ST",
            "address_2": "STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913455",
            "telephone_number": "828-697-7377",
            "fax_number": "828-697-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-3064",
            "fax_number": "417-820-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANE",
        "middle_name": "S.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014826",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012028464",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.