Individual provider Active NPI

Ann Marie Smith

  • Family Nurse Practitioner
  • Germantown, OH
National Provider Identifier
1700341294
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRNCNP.023713 Issued in OH
Practice address
2320 Beechwood Dr
Germantown, OH 45327-9462
Phone
(937) 895-4092
Fax
(937) 855-6044
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 023713 OH
Family Nurse Practitioner 363LF0000X APRNCNP.023713 OH Primary

Addresses

Primary practice location

2320 Beechwood Dr
Germantown, OH 45327-9462

Mailing address

2320 Beechwood Dr
Germantown, OH 45327-9462
Phone (937) 895-4092

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190320002483 OH Practitioner - Nurse Practitioner 4688914120 Reassigns benefits to 2 organizations

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
Providence Medical GroupGroup PAC ID 2860386349, 29 clinicians

Practice addresses (Care Compare)

2912 Springboro W
Suite 201
Moraine, OH 45439-1674
Phone (937) 297-8999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
023713OHMDFamily Nurse Practitioner
APRNCNP.023713OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Group Single Specialty CurrentSince Jan 3, 2023 Accepting new patients
Mvhe Inc CurrentSince Mar 4, 2019 Accepting new patients
Providence Medical Group, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Mvhe Inc Single Specialty CurrentSince Mar 4, 2019 Accepting new patients

Locations

4403 W Franklin St
Ste D
Bellbrook, OH 45305
Phone (937) 848-9010

1516 Yankee Park Pl
Dayton, OH 45458
Phone (937) 438-1115

1989 Miamisburg Centerville Rd
Ste 301
Dayton, OH 45459
Phone (937) 434-7353

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

38 Woodcroft Trl
Dayton, OH 45430
Phone (937) 427-3333

2320 Beechwood Dr
Germantown, OH 45327
Phone (937) 895-4092

8701 Troy Pike
Ste 20
Huber Heights, OH 45424
Phone (937) 233-7146

2912 Springboro W
Ste 201
Moraine, OH 45439
Phone (937) 297-8996

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

70 Remick Blvd
Springboro, OH 45066
Phone (937) 885-0701

3038 Olive Rd
Trotwood, OH 45426
Phone (937) 208-7050

400 Corporate Center Dr
Vandalia, OH 45377
Phone (937) 410-3838

4353 E State Route 73
Ste 120
Waynesville, OH 45068
Phone (513) 897-0085

Interoperability endpoints

  • Direct secure messaging: ann.smith.1@237.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1700341294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BEECHWOOD DR",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453279462",
            "telephone_number": "937-895-4092",
            "fax_number": "937-855-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BEECHWOOD DR",
            "city": "GERMANTOWN",
            "state": "OH",
            "postal_code": "453279462",
            "telephone_number": "937-895-4092",
            "fax_number": "937-855-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023713",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRNCNP.023713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, OH

Sources for this page

Verify at the official NPI Registry.