Individual provider Active NPI

Vermicker Smith, NP

  • Nurse Practitioner
  • Bryan, TX
National Provider Identifier
1629331392
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
774391 Issued in TX
Practice address
3370 S Texas Ave
Bryan, TX 77802-3127
Phone
(979) 595-1700
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 774391 TX Primary

Addresses

Primary practice location

3370 S Texas Ave
Bryan, TX 77802-3127

Mailing address

1500 University Dr E Ste 100
College Station, TX 77840-2600
Phone (979) 596-5852

Other practice location 1

700 N Sam Houston Pkwy W
Houston, TX 77067-4335
Phone (328) 828-1005

Other practice location 2

1602 Rock Prairie Rd
College Station, TX 77845-8306
Phone (979) 693-7400

Other names 1

  • Vermicker Ible Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181212000045 TX Practitioner - Nurse Practitioner 6507100948 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
774391TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Community Action Agency, Inc. CurrentSince Apr 15, 2025 Accepting new patients
Brazos Valley Community Action Agency, Inc. CurrentSince Apr 15, 2025 Accepting new patients

Locations

3370 S Texas Ave
Bryan, TX 77802
Phone (979) 595-1700

1500 University Dr E
College Station, TX 77840
Phone (979) 693-7400

1500 University Dr E
Ste 100
College Station, TX 77840
Phone (979) 383-2340

8310 Highway 6 Loop
Navasota, TX 77868
Phone (936) 825-0000

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.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1629331392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 UNIVERSITY DR E STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402600",
            "telephone_number": "979-596-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 S TEXAS AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023127",
            "telephone_number": "979-595-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N Sam Houston Pkwy W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770674335",
            "country_code": "US",
            "telephone_number": "328-828-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1602 Rock Prairie Rd",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778458306",
            "country_code": "US",
            "telephone_number": "979-693-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VERMICKER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "774391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERMICKER",
            "last_name": "IBLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.