Active NPI
Jennifer R Smith, APRN NP-C
- Family Nurse Practitioner
- Gering, NE
National Provider Identifier
1679953475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 111806
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260127002039 | NE | Order and Referring Only - Nurse Practitioner | 7315259660 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111806 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Rural Health Clinic/Center
- Mitchell, NE
- NPI 1992703425
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.