Active NPI
Jessica Smith
- Acute Care Nurse Practitioner
- Elyria, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN.CNP.019978
- Practice address
- 1120 E Broad St
Elyria, OH 44035-6306 - Phone
- (440) 366-2239
- Fax
- (440) 365-1366
- NPI assigned
- Oct 19, 2016
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.019978 | OH | Primary |
Addresses
Primary practice location
1120 E Broad St
Elyria, OH 44035-6306
Mailing address
578 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 213-0858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 E River St
Elyria, OH 44035-5981
Phone (440) 284-8600
Hospital & facility affiliations
- University Hospitals - Elyria Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Emh Regional Medical Center | Current | Accepting new patients | |
| Community Intensivists, LLC | Current | Accepting new patients | |
| Community Hospitalist, LLC | Acute Care | Current | Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Elyria Anesthesia Incorporated | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Hni Medical Services of Ohio, LLC | Current | Accepting new patients | |
| Emh Regional Medical Center | Current | Accepting new patients |
Locations
11100 Euclid Ave
Cleveland Heights, OH 44106
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
860 E Broad St
Ste I
Elyria, OH 44035
Phone (440) 323-8458
125 E Broad St
Ste 119
Elyria, OH 44035
Phone (440) 329-5941
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000
Interoperability endpoints
- jsmith28281@ehrdirect.uhhospitals.org
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Anesthesiology Physician
- Elyria, OH
- NPI 1710922463
-
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1356815922
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Pulmonary Disease Physician
- Middleburg Heights, OH
- NPI 1992131742
-
- Nurse Practitioner
- Elyria, OH
- NPI 1629422480
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1669923207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 N LEAVITT RD",
"city": "AMHERST",
"state": "OH",
"postal_code": "440011131",
"telephone_number": "440-213-0858",
"fax_number": "440-988-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 E BROAD ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356306",
"telephone_number": "440-366-2239",
"fax_number": "440-365-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.019978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.