Active NPI
Marikit Beth Smith, NURSE PRACTITIONER
- Family Nurse Practitioner
- Kingsburg, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95014123
- Practice address
- 1364 Draper St
Kingsburg, CA 93631-1905 - Phone
- (559) 281-8563
- NPI assigned
- Aug 17, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95014123 | CA | Primary |
Addresses
Primary practice location
1364 Draper St
Kingsburg, CA 93631-1905
Mailing address
5643 N 5TH St
Fresno, CA 93710-6322
Phone (559) 281-8563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210210001698 | CA | Practitioner - Nurse Practitioner | 4688089394 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Foundation Medical Group
Practice addresses (Care Compare)
7355 N Palm Ave
Suite 100
Fresno, CA 93711-5770
Phone (559) 271-6300
Hospital & facility affiliations
- Community Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.41 of 100
- Quality
- 87.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.04 of 100
- Quality
- 78.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95014123 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foundation Medical Group | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Dominic Dizon, Medical Corporation | Current | Accepting new patients | |
| Community Health Partners | Current | Accepting new patients |
Locations
7035 N Maple Ave
Ste 102A
Fresno, CA 93720
Phone (559) 299-2997
7355 N Palm Ave
Ste 100
Fresno, CA 93711
Phone (559) 271-6300
7035 N Maple Ave
Ste 102B
Fresno, CA 93720
Phone (559) 299-2997
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
2066 E Copper Ave
Ste 104
Fresno, CA 93730
Phone (559) 299-2997
805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1134668353
-
- Surgery of the Hand (Plastic Surgery) Physician
- Fresno, CA
- NPI 1346770294
-
- Foot & Ankle Surgery Podiatrist
- Clovis, CA
- NPI 1821761743
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1003329491
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1659983195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5643 N 5TH ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106322",
"telephone_number": "559-281-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 DRAPER ST",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936311905",
"telephone_number": "559-281-8563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MARIKIT",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95014123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.