Individual provider Active NPI

Melissa D. Smith, FNP

  • Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1679119358
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000025884 Issued in TN
Practice address
711 McFarland St
Morristown, TN 37814-3977
Phone
(423) 317-7412
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000025884 TN Primary

Addresses

Primary practice location

711 McFarland St
Morristown, TN 37814-3977

Mailing address

711 McFarland St
Morristown, TN 37814-3977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200114002443 TN Practitioner - Nurse Practitioner 4385079656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care and Geriatrics, PCGroup PAC ID 3577605054, 7 clinicians

Practice addresses (Care Compare)

711 McFarland St
Morristown, TN 37814-3977
Phone (423) 317-7412

Hospital & facility affiliations

  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000025884TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care and Geriatrics, PC CurrentSince Nov 20, 2019 Accepting new patients

Locations

711 McFarland St
Morristown, TN 37814
Phone (423) 317-7412

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1679119358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977",
            "telephone_number": "423-317-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELISSA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000025884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.