Alexia Marie Smith, N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

MED-APRN-LIC-128631 Issued in MT

Practice address

15209 W Michigan Ave
Marshall, MI 49068-9570

Phone

(269) 781-9119

Fax

(269) 789-4347

NPI assigned

Oct 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, WI, FL, WA4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Excelsior Family Medicine LLC 6 clinicians

County of Waushara 7 clinicians

Bronson-Acadia Joint Venture LLC 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexia.smith.1@24284.direct.athenahealth.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.

• Bronson-Acadia Joint Venture, LLC

  • Psychiatric Hospital
  • Battle Creek, MI
  • NPI 1083337372

  MI

  Medicare reassignment Care Compare group NPD
• County of Waushara

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wautoma, WI
  • NPI 1932207362

  WI

  Medicare reassignment Care Compare group NPD
• Excelsior Family Medicine LLC

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1275179483

  WA

  Medicare reassignment Care Compare group NPD
• Ella E M Brown Charitable Circle

  • Psychiatry Physician
  • Marshall, MI
  • NPI 1366591794

  MI

  Medicare reassignment NPD
• Saginaw Psychological Services, Inc.

  • Psychologist
  • Saginaw, MI
  • NPI 1821163882

  MI

  Medicare reassignment NPD
• Summit Pointe

  • Community/Behavioral Health Agency
  • Battle Creek, MI
  • NPI 1881823722

  MI

  Medicare reassignment NPD
• Flagler Hospital Inc

  • General Acute Care Hospital
  • St Augustine, FL
  • NPI 1144211020

  FL

  Medicare reassignment NPD
• County of Waushara

  • Public Health or Welfare Agency
  • Wautoma, WI
  • NPI 1528232832
  Care Compare group
• County of Waushara

  • Land Ambulance
  • Wautoma, WI
  • NPI 1568517688
  Care Compare group
• Ella E M Brown Charitable Circle

  • Diagnostic Radiology Physician
  • Marshall, MI
  • NPI 1043660467

  Nurse Practitioner

  NPD
• Ella E M Brown Charitable Circle

  • Medical Physician Assistant
  • Homer, MI
  • NPI 1518159169
  NPD
• Summit Pointe

  • Psychiatry Physician
  • Battle Creek, MI
  • NPI 1700833555
  NPD

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1659569002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15209 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689570",
            "telephone_number": "269-781-9119",
            "fax_number": "269-789-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15209 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689570",
            "telephone_number": "269-781-9119",
            "fax_number": "269-789-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXIA",
        "middle_name": "MARIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "839833",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "MED-APRN-LIC-128631",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704252197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "4704252197",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriella Shultz, ATC
• William Robert Shumaker, MA, LPC, NCC
• Rajvinder Sidhu, M.D
• Tricia Raquel Sikkenga
• Lisa Slusarski
• Derricka E Smith, MA LLP
• Katherine Emily Smith
• Sara Jordan Smith
• Sandra Snyder
• Alyssa Sollenberger, D.C.

• All providers in Marshall, MI
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.