Stacy M Smalley, CNM MSN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

M002126 Issued in AR

Practice address

7001 Rogers Ave Ste 403
Fort Smith, AR 72903-4034

Phone

(479) 785-2229

Fax

(479) 478-6745

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.smalley.p1@direct.lscctx.nextgenshare.com

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.

• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769
  Medicare reassignment Care Compare group NPD
• Mercy Clinic Fort Smith Communities

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1902073620
  Medicare reassignment NPD
• Obhg Arkansas West PA

  • Obstetrics & Gynecology Physician
  • Bentonville, AR
  • NPI 1518421767
  Medicare reassignment NPD
• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Georgetown, TX
  • NPI 1891746970
  Medicare reassignment NPD
• Obhg Arkansas, PA

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1962862920

  AR

  Medicare reassignment NPD
• Mercy Clinic Fort Smith Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Smith, AR
  • NPI 1790258002
  NPD
• Jonathan J Jakus & Nicholas Klein PTR

  • Specialist
  • Nyack, NY
  • NPI 1871531467
  NPD
• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1699289728
  NPD
• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Georgetown, TX
  • NPI 1639129331
  NPD (past)
• Saint Raphael Faculty Physicians

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1932138138
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1619909009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 ROGERS AVE STE 403",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034034",
            "telephone_number": "479-785-2229",
            "fax_number": "845-353-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ROGERS AVE STE 403",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034034",
            "telephone_number": "479-785-2229",
            "fax_number": "479-478-6745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 High Ave",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109602407",
            "country_code": "US",
            "telephone_number": "845-353-1441",
            "fax_number": "845-353-1987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7301 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729034100",
            "country_code": "US",
            "telephone_number": "800-967-2289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "STACY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CNM MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001316-1",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AR",
            "license": "M002126",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "LNM000261",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AR",
            "license": "M002126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "40LNM0261CT05",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "26100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "P3644739",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHPLAN UNITED",
            "identifier": "060967790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sky Blossom Logistics
• Slabbert & Associates, Inc.
• Christiaan Johannes Slabbert, M.D.
• Sleep Well Medical
• Carolyn Sue Slote, P.T.
• Madison Smallwood
• William M. Smets, P.D.
• Smile Help Dental
• Smiles by Crisp, PLLC
• Samantha Smiley, QBHP

• Advanced Practice Midwife in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Advanced Practice Midwife in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.

Verify at the official NPI Registry.