Active NPI
Jane S. Smith, FNP
- Family Nurse Practitioner
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5014826
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MO |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henderson County Hospital Corporation | Current | Accepting new patients | |
| Pardee Neurology Associates | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Hendersonville, NC
- NPI 1447444559
-
- Community/Retail Pharmacy
- Hendersonville, NC
- NPI 1013694165
-
- Neurology Physician
- Hendersonville, NC
- NPI 1447540323
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.