Individual provider Active NPI

Jennifer R Smith, APRN NP-C

  • Family Nurse Practitioner
  • Gering, NE
National Provider Identifier
1679953475
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111806 Issued in NE
Practice address
1605 10TH St Ste B
Gering, NE 69341-2409
Phone
(308) 633-6010
Fax
(308) 633-6011
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 111806 NE
Family Nurse Practitioner 363LF0000X 111806 NE Primary

Addresses

Primary practice location

1605 10TH St Ste B
Gering, NE 69341-2409

Mailing address

1605 10TH St Ste B
Gering, NE 69341-2409
Phone (308) 633-6010

Other practice location 1

2 W 42nd St
Suite 3500
Scottsbluff, NE 69361-0617
Phone (308) 630-2595

Other practice location 2

1275 Sage St
Gering, NE 69341-3227
Phone (308) 436-2101

Other names 1

  • Jennifer R Baer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20260127002039 NE Order and Referring Only - Nurse Practitioner 7315259660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111806NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1679953475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 10TH ST STE B",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693412409",
            "telephone_number": "308-633-6010",
            "fax_number": "308-633-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 10TH ST STE B",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693412409",
            "telephone_number": "308-633-6010",
            "fax_number": "308-633-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 W 42nd St",
            "address_2": "Suite 3500",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693610617",
            "country_code": "US",
            "telephone_number": "308-630-2595",
            "fax_number": "308-630-2596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 Sage St",
            "address_purpose": "LOCATION",
            "city": "Gering",
            "state": "NE",
            "postal_code": "693413227",
            "country_code": "US",
            "telephone_number": "308-436-2101",
            "fax_number": "308-436-3681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "111806",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BAER",
            "middle_name": "R",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gering, NE

Sources for this page

Verify at the official NPI Registry.