Active NPI
Jennifer Smith, APN FNP
- Nurse Practitioner
- Princeton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71017893A
- Practice address
- 1414 W Broadway St
Princeton, IN 47670-1142 - Phone
- (812) 385-5283
- Fax
- (812) 385-5274
- NPI assigned
- May 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209-031499 | IL | |
| Nurse Practitioner | 363L00000X | 71017893A | IN | Primary |
| Nurse Practitioner | 363L00000X | 209-031499 | IL |
Addresses
Primary practice location
1414 W Broadway St
Princeton, IN 47670-1142
Mailing address
1414 W Broadway St
Princeton, IN 47670-1142
Phone (812) 385-5283
Other practice location 1
303 NW 11th St
Fairfield, IL 62837-1206
Phone (618) 842-4617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairfield Memorial Hospital Association
Practice addresses (Care Compare)
213 NW 10TH St
Fairfield, IL 62837-1219
3150 Warrick Dr
Boonville, IN 47601-8602
Phone (812) 858-3355
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-031499 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| Fairfield Memorial Hospital Association | Current | Accepting new patients |
Locations
303 NW 11th St
Fairfield, IL 62837
Phone (618) 842-2611
213 NW 10th St
Ste A
Fairfield, IL 62837
Phone (618) 842-4617
Interoperability endpoints
- jlsmith@direct.horizonhealthcare.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/11356/brand/1/csg/161/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.
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
dba Horizon Healthcare
- Family Medicine Physician
- Fairfield, IL
- NPI 1649442419
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
dba Horizon Healthcare
- Rural Health Clinic/Center
- Fairfield, IL
- NPI 1295908853
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1659162980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W BROADWAY ST",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476701142",
"telephone_number": "812-385-5283",
"fax_number": "812-385-5274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W BROADWAY ST",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476701142",
"telephone_number": "812-385-5283",
"fax_number": "812-385-5274"
}
],
"practiceLocations": [
{
"address_1": "303 NW 11th St",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "IL",
"postal_code": "628371206",
"country_code": "US",
"telephone_number": "618-842-4617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JENNIFER",
"credential": "APN FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-15",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209-031499",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71017893A",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-031499",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.