Jennifer Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005946 Issued in NC

Practice address

4092 Professional Dr
Hope Mills, NC 28348-2366

Phone

(910) 615-3120

Fax

(910) 423-6050

NPI assigned

Nov 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of North Carolina at Chapel Hill School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bladen Healthcare LLCGroup PAC ID 6800967969, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Fear Valley-Bladen County Hospital Hospital, Elizabethtown, NC, CCN 341315

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsmith16301@capefearvalley.direct-ci.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.

• Bladen Healthcare LLC

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1558537282
  Medicare reassignment Care Compare group NPD
• Bladen Healthcare LLC

  • Rural Health Clinic/Center
  • Whiteville, NC
  • NPI 1821764390
  NPD
• Bladen Healthcare, LLC

  • Rural Health Clinic/Center
  • Bladenboro, NC
  • NPI 1417123993
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bladen Healthcare LLC

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1558537282
  Care Compare affiliation

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1639413461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 CHADBORNE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283127609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4092 PROFESSIONAL DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482366",
            "telephone_number": "910-615-3120",
            "fax_number": "910-423-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latretra Joy Smith-Jones, DC
• Belinda Smith
• Blair Lawrence Smith, DENTIST
• Eric J Smith, PHARMD
• James Haywood Smith Sr., PHARMACIST
• Southeastern Diabetic Shoes & Supplies LLC
• Southeastern Health Physician Services
• Southeastern Regional Medical Center
• Southeastern Regional Physician Services
• Southern Angels Home Health Care

• Family Nurse Practitioner in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.