Individual provider Active NPI

Hilda G Smith, PMNNP-BC, MSN, MPH

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1669841508
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209021519 Issued in IL
Practice address
4848 W Irving Park Rd
Chicago, IL 60641-2718
Phone
(773) 724-6200
Fax
(773) 866-8015
NPI assigned
Sep 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 125459 MO
Psychiatric/Mental Health Registered Nurse 163WP0808X 2015032902 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP-03139 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2015012933 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209021519 IL Primary

Addresses

Primary practice location

4848 W Irving Park Rd
Chicago, IL 60641-2718

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 352-1515

Other practice location 1

901 W Hickory St
Deming, NM 88030-4046
Phone (575) 546-2174

Other practice location 2

1715 E 95th St
Chicago, IL 60617-4708
Phone (773) 768-4437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20151009000720 MO Practitioner - Nurse Practitioner 0042528192 Reassigns benefits to 1 organization
I20200722003994 IL Practitioner - Nurse Practitioner 0042528192 Reassigns benefits to 1 organization
I20220221001924 TX Practitioner - Nurse Practitioner 0042528192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

2360 Gus Thomasson Rd
Dallas, TX 75228-3005
Phone (314) 301-7071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
125459MOMDPsychiatric/Mental Health Registered Nurse
2015032902MOMDPsychiatric/Mental Health Registered Nurse
2015012933MOMDPsychiatric/Mental Health Nurse Practitioner
CNP-03139NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC CurrentSince Nov 10, 2021 Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Jul 6, 2020 Accepting new patients
Clark Community Mental Health Center CurrentSince May 4, 2020 Accepting new patients
Clark Community Mentalhealth Center PastSince May 4, 2020 Accepting new patients

Locations

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

1715 E 95th St
Chicago, IL 60617
Phone (773) 768-4437

411 3rd St
Monett, MO 65708
Phone (417) 235-6610

104 W Main St
Pierce City, MO 65723
Phone (417) 235-6610

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Interoperability endpoints

  • Direct secure messaging: hilda.smith.p1@direct.jordanvalley.nextgenshare.com

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": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1669841508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412718",
            "telephone_number": "773-724-6200",
            "fax_number": "773-866-8015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Hickory St",
            "address_purpose": "LOCATION",
            "city": "Deming",
            "state": "NM",
            "postal_code": "880304046",
            "country_code": "US",
            "telephone_number": "575-546-2174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 E 95th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606174708",
            "country_code": "US",
            "telephone_number": "773-768-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HILDA",
        "middle_name": "G",
        "credential": "PMNNP-BC, MSN, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MO",
            "license": "125459",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2015032902",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-03139",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2015012933",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209021519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.