Individual provider Active NPI

Jeffrey Allen Smith, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fernley, NV
National Provider Identifier
1588290035
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
834589 Issued in NV
Practice address
762 Garnet Way
Fernley, NV 89408-8446
Phone
(619) 279-3457
NPI assigned
Mar 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 834589 NV Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 9453922 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11006861 FL

Addresses

Primary practice location

762 Garnet Way
Fernley, NV 89408-8446

Mailing address

10774 Barrel Horse LN
Reno, NV 89521-4564
Phone (619) 279-3457

Other practice location 1

Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708
Phone (757) 953-5269

Other practice location 2

4755 Pasture Road
BLDG 299
Fallon, NV 89496-5000
Phone (775) 426-3125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20251110002185 NV Practitioner - Nurse Practitioner 4082104781 Reassigns benefits to 2 organizations

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
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

639 Isbell Rd
Suite 380
Reno, NV 89509-4982
Phone (832) 869-4818

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9453922FLMDPsychiatric/Mental Health Registered Nurse
11006861FLMDPsychiatric/Mental Health Nurse Practitioner
834589NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Aug 28, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Aug 28, 2025 Accepting new patients

Locations

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

639 Isbell Rd
Ste 380
Reno, NV 89509
Phone (775) 348-5800

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 2

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 5

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": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1588290035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10774 BARREL HORSE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214564",
            "telephone_number": "619-279-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 GARNET WAY",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894088446",
            "telephone_number": "619-279-3457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Naval Medical Center Portsmouth",
            "address_2": "620 John Paul Jones Circle",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "23708",
            "country_code": "US",
            "telephone_number": "757-953-5269",
            "fax_number": "757-953-6907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 Pasture Road",
            "address_2": "BLDG 299",
            "address_purpose": "LOCATION",
            "city": "Fallon",
            "state": "NV",
            "postal_code": "894965000",
            "country_code": "US",
            "telephone_number": "775-426-3125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "834589",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9453922",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11006861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernley, NV

Sources for this page

Verify at the official NPI Registry.