Individual provider Active NPI

Krista Dawn Smith, CRNP

  • Family Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1750680831
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R171903 Issued in MD
Practice address
1050 W Industrial Blvd Ste 16
Cumberland, MD 21502-4331
Phone
(240) 410-0885
Fax
(240) 410-1097
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R171903 MD Primary

Addresses

Primary practice location

1050 W Industrial Blvd Ste 16
Cumberland, MD 21502-4331

Mailing address

1050 W Industrial Blvd Ste 16
Cumberland, MD 21502-4331
Phone (240) 410-0885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170925001726 MD Practitioner - Nurse Practitioner 2163796483 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R171903MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Matters LLC CurrentSince Jan 18, 2026 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Western Maryland Health Care Corporation Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14302 Barton Blvd SW
Cumberland, MD 21502
Phone (301) 729-3278

14302 Barton Blvd SW
Ste 100
Cumberland, MD 21502

Interoperability endpoints

  • Direct secure messaging: ksmith425927@direct.wvuhsdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1750680831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W INDUSTRIAL BLVD STE 16",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024331",
            "telephone_number": "240-410-0885",
            "fax_number": "240-410-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W INDUSTRIAL BLVD STE 16",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024331",
            "telephone_number": "240-410-0885",
            "fax_number": "240-410-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTA",
        "middle_name": "DAWN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R171903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.