Individual provider Active NPI

Patricia A Smawley, FNP

  • Nurse Practitioner
  • Prince Frederick, MD
National Provider Identifier
1770109456
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R180272 Issued in MD
Practice address
1005 Prince Frederick Blvd Ste 101
Prince Frederick, MD 20678-3195
Phone
(410) 535-5555
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R180272 MD Primary

Addresses

Primary practice location

1005 Prince Frederick Blvd Ste 101
Prince Frederick, MD 20678-3195

Mailing address

1005 Prince Frederick Blvd Ste 101
Prince Frederick, MD 20678-3195
Phone (410) 535-5555

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
I20230508000045 MD Practitioner - Nurse Practitioner 8426413824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bhargesh P. Mehta, M.D., P.a.Group PAC ID 6901878321, 2 clinicians

Practice addresses (Care Compare)

1005 Prince Frederick Blvd
Suite 101
Prince Frederick, MD 20678-3195
Phone (410) 535-5555

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bhargesh P. Mehta, M.D., P.a. CurrentSince Mar 31, 2023 Accepting new patients
Bhargesh P. Mehta, M.D., P.a. CurrentSince Jun 21, 2020 Accepting new patients

Locations

3140 W Ward Rd
Ste 207
Dunkirk, MD 20754
Phone (410) 257-1744

1005 Prince Frederick Blvd
Ste 101
Prnc Frederck, MD 20678
Phone 4105355555 ext. 105

Interoperability endpoints

  • Direct secure messaging: patricia.smawley@bpmm.eclinicaldirectplus.com

Organizations & group practices 2

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1770109456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PRINCE FREDERICK BLVD STE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783195",
            "telephone_number": "410-535-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PRINCE FREDERICK BLVD STE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783195",
            "telephone_number": "410-535-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMAWLEY",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R180272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.