Active NPI
Jordan Maria Smith, FNP
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2023019714
- Practice address
- 11133 Dunn Rd
Div Im Bone Marrow Transplant
Saint Louis, MO 63136-6163 - Phone
- (314) 454-8304
- Fax
- (314) 454-5902
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- O Fallon, IL
- NPI 1477076263
IL
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1457203135
-
- Multi-Specialty Clinic/Center
- O Fallon, IL
- NPI 1528569845
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1134169568
-
- Family Medicine Physician
- Harrisburg, IL
- NPI 1285350504
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Southern Illinois University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Washington University
Practice addresses (Care Compare)
150 Entrance Way
St Peters Siteman Cancer Center
St Peters, MO 63376-1645
Phone (636) 916-9920
4500 Forest Park Ave
Saint Louis, MO 63108-2114
Hospital & facility affiliations
- Barnes Jewish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- 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 |
|---|---|---|---|---|
| I20220906002211 | IL | Practitioner - Nurse Practitioner | 8820472111 | Reassigns benefits to 1 organization |
| I20230911001958 | MO | Practitioner - Nurse Practitioner | 8820472111 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023019714 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc. | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Deaconess Illinois Clinic, Inc | Nurse Practitioner | Past | Accepting new patients |
| Washington University | Past | Accepting new patients |
Locations
2122 Troy Rd
Ste 140
Edwardsville, IL 62025
1418 Cross St
Ste 180
Shiloh, IL 62269
Phone (618) 607-1340
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
1255 Graham Rd
Ste 101
Florissant, MO 63031
1234 S Kingshighway Blvd
Ste 1100
Saint Louis, MO 63110
660 S Euclid Ave
#8005
Saint Louis, MO 63110
660 S Euclid Ave
Saint Louis, MO 63110
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
4921 Parkview Pl
Fl 7
Saint Louis, MO 63110
Phone (314) 362-6908
8 Millstone Campus Dr
Saint Louis, MO 63146
Phone (314) 273-4375
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2023019714 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
11133 Dunn Rd
Div Im Bone Marrow Transplant
Saint Louis, MO 63136-6163
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 454-8304
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420129019 | Medicaid | MO |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2025.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1700513637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "314-454-8304",
"fax_number": "314-454-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11133 DUNN RD",
"address_2": "DIV IM BONE MARROW TRANSPLANT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366163",
"telephone_number": "314-454-8304",
"fax_number": "314-454-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JORDAN",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2025-04-17",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2023019714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420129019",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "11133 Dunn Rd",
"address_2": "Div IM Bone Marrow Transplant",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366163",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.