Individual provider Active NPI

Bryana Michel Smith, FNP-BC

  • Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1649824277
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
62050 Issued in ID
Practice address
3280 E Lanark Dr
Meridian, ID 83642-5982
Phone
(208) 895-8670
Fax
(208) 955-0494
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 62050 ID Primary

Addresses

Primary practice location

3280 E Lanark Dr
Meridian, ID 83642-5982

Mailing address

PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500

Other practice location 1

150 W Broderick Dr
Meridian, ID 83646-0009
Phone (208) 680-7271

Other names 1

  • Bryana Michel Hinck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20241112001260 ID Practitioner - Nurse Practitioner 0143754291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Medical Group LLCGroup PAC ID 3971544685, 132 clinicians

Practice addresses (Care Compare)

3280 E Lanark Dr
Meridian, ID 83642-5982
Phone (208) 895-8670

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Group, LLC CurrentSince Nov 11, 2024 Accepting new patients
Alliance Medical Group, LLC CurrentSince Nov 11, 2024 Accepting new patients
Alliance Medical Group, LLC Past Accepting new patients
Thrive Pediatrics, LLC PastSince Aug 1, 2019 Accepting new patients

Locations

10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690

3280 E Lanark Dr
Meridian, ID 83642
Phone (208) 377-4400

Interoperability endpoints

  • Direct secure messaging: bryana.hinck@phmg.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/19555/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1649824277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191050",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191050",
            "telephone_number": "208-955-6500",
            "fax_number": "208-955-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 E LANARK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425982",
            "telephone_number": "208-895-8670",
            "fax_number": "208-955-0494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W Broderick Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836460009",
            "country_code": "US",
            "telephone_number": "208-680-7271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRYANA",
        "middle_name": "MICHEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "62050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYANA",
            "last_name": "HINCK",
            "middle_name": "MICHEL",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.