Emily Jean Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F03220063 Issued in NM

Practice address

3530 Foothills Rd
Las Cruces, NM 88011-3626

Phone

(575) 532-6054

Fax

(575) 532-0215

NPI assigned

Mar 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Elite Primary Care LLCGroup PAC ID 2961749205, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
• Sierra Vista Hospital Hospital, T Or C, NM, CCN 321300

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Elite Primary Care LLC

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1669945002

  NM

  Medicare reassignment Care Compare group
• Rehabilitation & Occupational Medicine LLC

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1205981339

  NM

  Medicare reassignment NPD
• Elite Primary Care, LLC

  • Methadone Clinic
  • Las Cruces, NM
  • NPI 1568168342
  Care Compare group NPD

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

• PHC-Las Cruces Inc

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808

  Hospital

  Care Compare affiliation
• Sierra Vista Hospital

  • Critical Access Hospital
  • Truth Or Consequences, NM
  • NPI 1760446009

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1720736804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 FOOTHILLS RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880113626",
            "telephone_number": "575-649-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 FOOTHILLS RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880113626",
            "telephone_number": "575-532-6054",
            "fax_number": "575-532-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "F03220063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720736804",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hylas Emmett Smiley, MD
• Amani Smith
• Andrea Paige Smith
• Briana Smith, CNP
• Denise Rae Smith, M.A.
• Felicity Smith, PT
• Henry Soto Smith, FOSTER PARENT
• Janine Anne Smith, MS, LMFT
• Jason Smith
• Jason Matthew Smith

• All providers in Las Cruces, NM
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.

Verify at the official NPI Registry.