Active NPI
Dana L Smallwood, FNP
- Family Nurse Practitioner
- Corydon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28175377A
- Practice address
- 1141 Hospital Dr NW
Corydon, IN 47112-2164 - Phone
- (812) 738-7843
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3013392 | KY | |
| Family Nurse Practitioner | 363LF0000X | 28175377A | IN | Primary |
Addresses
Primary practice location
1141 Hospital Dr NW
Corydon, IN 47112-2164
Mailing address
1141 Hospital Dr NW
ER
Corydon, IN 47112-1540
Phone (812) 738-7843
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300030269 | Medicaid | IN | |
| 7100628550 | Medicaid | KY | |
| 412840119 | Other | IN | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190913002991 | IN | Practitioner - Nurse Practitioner | 7113256249 | Reassigns benefits to 3 organizations |
| I20210105001581 | KY | Practitioner - Nurse Practitioner | 7113256249 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100
3516 E 10TH St
Jeffersonville, IN 47130-9315
Phone (812) 981-8970
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28175377A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Emergency Group, PC | Nurse Practitioner | Current | Accepting new patients |
| Norton - Kings Daughters Health Inc | Nurse Practitioner | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Nurse Practitioner | Current | Accepting new patients |
| Norton - Kings Daughters Health Inc | Current | Accepting new patients | |
| Oldham County Emergency Physicians, LLC | Current | Accepting new patients |
Locations
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
445 E Clifty Dr
Madison, IN 47250
445 Clifty Dr
Madison, IN 47250
Phone (812) 273-5372
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335
11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345
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.
-
- Emergency Medicine Physician
- Corydon, IN
- NPI 1023487154
IN, Nurse Practitioner
-
- Family Medicine Physician
- Madison, IN
- NPI 1114955093
IN, Nurse Practitioner
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
IN, Nurse Practitioner
-
- Emergency Medicine Physician
- La Grange, KY
- NPI 1508726035
KY
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
KY, Nurse Practitioner
-
- Rural Health Clinic/Center
- Scottsburg, IN
- NPI 1467057042
-
- Family Medicine Physician
- Jeffersonville, IN
- NPI 1811648827
Nurse Practitioner
-
- Clinical Medical Laboratory
- Madison, IN
- NPI 1497024426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1669974721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 HOSPITAL DR NW",
"address_2": "ER",
"city": "CORYDON",
"state": "IN",
"postal_code": "471121540",
"telephone_number": "812-738-7843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 HOSPITAL DR NW",
"city": "CORYDON",
"state": "IN",
"postal_code": "471122164",
"telephone_number": "812-738-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "DANA",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3013392",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28175377A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300030269",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100628550",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "412840119",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corydon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.