Individual provider Active NPI

Jennifer Smoot, FNP-C

  • Family Nurse Practitioner
  • Artesia, NM
National Provider Identifier
1750786620
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02511 Issued in NM
Practice address
2104 W Main St
Artesia, NM 88210-3714
Phone
(575) 748-1599
Fax
(575) 208-7284
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 CNP-02511 NM Primary

Addresses

Primary practice location

2104 W Main St
Artesia, NM 88210-3714

Mailing address

4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 221-5965

Other practice location 1

402 W Country Club Rd
Roswell, NM 88201-5247
Phone (575) 637-7000

Other practice location 2

702 N 13th St
Artesia, NM 88210-1199
Phone (575) 746-3119

Other identifiers 1

IdentifierTypeStateIssuer
CNP-02511OtherNMLICENSE NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mfp@artesiageneral.hin.us Direct
Direct Messaging Address jennifer.smoot.1@3522.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141217000231 NM Practitioner - Nurse Practitioner 3375866742 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-02511NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince Jul 1, 2017 Accepting new patients
Artesia General Hospital Family CurrentSince Jul 1, 2017 Accepting new patients
Artesia General Hospital Past Accepting new patients

Locations

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
  • Direct secure messaging: jennifer.smoot.1@3522.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1750786620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034817",
            "telephone_number": "432-221-5965",
            "fax_number": "432-221-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 W MAIN ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882103714",
            "telephone_number": "575-748-1599",
            "fax_number": "575-208-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 W Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015247",
            "country_code": "US",
            "telephone_number": "575-637-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882101199",
            "country_code": "US",
            "telephone_number": "575-746-3119",
            "fax_number": "575-746-8524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOOT",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "CNP-02511",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfp@artesiageneral.hin.us",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "702 N 13th St",
            "city": "Artesia",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882101199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.smoot.1@3522.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2104 W Main St",
            "city": "Artesia",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882103714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.